INTAKE APPLICATION

A place to
begin again.

Tell us about yourself, your recovery, and the support that could help you move forward.

One step at a time

This application helps our team understand who you are, where you are coming from, and whether our program can meet your needs. Work through eight sections, then review your answers before sending. Required questions are marked *.

Now accepting residents

Apply to join Foundation Recovery Living. Our team will review your application for program suitability. Contact us about fees, admission requirements, and current availability. Submitting does not reserve a bed or guarantee admission.

For adults applying for themselves. Helping someone else? Contact our team.

info@foundationrecoveryliving.com

This application is not monitored for emergencies or urgent care.

STEP 1 OF 9

Take this at your own pace

Personal information

Help us understand who you are and how best to contact you.

Fields marked * require an answer. Use None, Not applicable, Unsure, or Prefer to discuss where appropriate.

Legal name *

Your email address *

Your phone number

City or community

How would you like us to follow up?

I am 18 or older and am applying for myself. *

Chosen or preferred name

Best time to call

Include your time zone and whether it is safe to leave a message.

Gender

Pronouns

Date of birth *

Alberta Health Care number

Leave blank if you do not have the number available. Do not upload a photo of your card.

Do you identify as First Nations, Métis, or Inuit?

Are you currently unhoused? *

Your answers stay on this page until you send them. Closing or refreshing the page clears unsent answers.