Drug Rehab, Alcohol Rehab Admissions

ADMISSION TO DESTINATION HOPE'S Rehab Program

We can start you in the right direction and get you the right treatment.
Just give us a call at : 877-824-0001

Contact Form

You may also complete the following form and we will contact you. Rest assured that your personal information cannot be sold or given to any other party.

• Full Name:
	Preferred Contact Method Contact Me By Email Contact Me By Phone No Response Is Required
• Email Address:
• Confirm Email Address:
Day Phone:
Evening Phone:
Street Address:
City:
State:
Zip:
Your Message:

What To Bring

• Enough clothing to last 30 days.
• Dress should be casual and in good taste i.e. jeans, casual slacks, sports shirts, jogging suits or walking shorts. Undergarments are required to be worn by all patients. Wash and wear fabrics are recommended since you will be doing your own laundry.
• Tennis shoes or flat sole shoes are most comfortable.
• Running shorts may be brought, but can only be worn at the gym or during scheduled workouts.
• Bathing suits may be worn at the pool or beach.
• Reading material must be limited to recovery material.
• Please bring pens and notebooks for writing your journals.
• All articles relating to your personal hygiene: deodorant, toothbrush, toothpaste, mouthwash, electric razor etc.
• All medication you are taking, please bring the medication in its container complete with the prescription attached.

What to Leave at Home

• Do not bring any clothing that depicts alcohol, drugs, sex, violence, or gambling. In addition, staff may decide on the appropriateness of additional clothing.
• Do not bring expensive jewelry, radios, tape recorders, DVD's or cameras.
• Do not bring pocketknives or metal hair picks.
• Do not bring products that include alcohol such as, aftershave.
• Do not bring any firearms or weapons of any kind.

[ BACK TO TOP OF PAGE ]