Applications & Forms

To download a copy of the application form click on the link below:

Application Medical Form 

Get Drug Recovery Help. Find Hope. Be Transformed.

We can also help you in your search for other Christian addiction treatment, teen alcohol treatment centers, addiction treatment centers, affordable addiction treatment, substance abuse treatment or low-cost rehabs near me. These Midwest alcohol rehab centers will specifically target alcoholism. Adult & Teen Challenge centers are long-term addiction recovery programs that are affordable, solving addictions for men in Wisconsin and Illinois, from the Chicago area, to Milwaukee and Madison, including Cudahy, South Milwaukee, Elm Grove, Butler, Brookfield, Menomonee Falls, Waukesha, Germantown, Pewaukee, Rockford.

Applications & Forms

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