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HARBOR RECOVERY HOUSE INTAKE APPLICATION GENERAL INFORMATION First Nameless NameD ate of Birth (mm/dd/YYY)GenderSocial Security NumberAddress CityStateZip Coleman Photocell PhoneEMERGENCY CONTACT First

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How to fill out harbor recovery house intake

01

Contact Harbor Recovery House to request an intake appointment.

02

Fill out the intake form provided by Harbor Recovery House.

03

Provide any necessary documentation or information requested by Harbor Recovery House.

04

Attend the intake appointment and discuss your needs and goals with the staff.

05

Follow any additional instructions or procedures provided by Harbor Recovery House.

Who needs harbor recovery house intake?

01

Individuals struggling with substance abuse or addiction who are seeking a safe and supportive environment to begin their recovery journey.

02

Those who are in need of a structured program and resources to help them maintain sobriety and work towards a healthier lifestyle.

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What is harbor recovery house intake?

Harbor recovery house intake is a form or document used to collect information about individuals seeking services at a recovery house.

Who is required to file harbor recovery house intake?

Individuals or their guardians who are seeking services at a recovery house are required to fill out and file harbor recovery house intake.

How to fill out harbor recovery house intake?

To fill out harbor recovery house intake, individuals are required to provide personal information, medical history, substance abuse history, and any other relevant information requested on the form.

What is the purpose of harbor recovery house intake?

The purpose of harbor recovery house intake is to gather necessary information to determine the appropriate treatment and support for individuals seeking services at a recovery house.

What information must be reported on harbor recovery house intake?

Information such as personal details, medical history, substance abuse history, current living situation, and any specific needs or preferences must be reported on harbor recovery house intake.

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