Carefully review all of the information in this packet to determine if our program is right for you. If not, please contact our admissions office to request a referral list of other programs.
Complete the attached application (please print legibly) and fax or mail it to the address below. If you receive assistance in completing this application, or want us to correspond with any other persons regarding your application, be sure to complete the attached “Authorization for Release of Confidential Information” form.
Adult & Teen Challenge, North Dakota Attention: Admissions Department 1406 2nd St NW Mandan, ND 58554 Phone: (701) 667-2131 ext. 110 Fax: (701) 663-3494
Upon receipt of your application, an admissions representative will contact you and begin processing your application. The length of the application review process can vary, but usually takes approximately 5 to 10 business days. In processing applications, a number of things are taken into consideration including: mental health conditions, medical conditions, past and present legal issues, funding eligibility, and level of care required.
It is important that your contact information is current. If you submit an application and have relocated, please be sure to notify our Admissions Department of your current contact information.
Applicants will not be admitted without a photo identification and social security card. If you do not possess these items at the time of application, please begin the process to receive them before admittance.
Applicants must go through detoxification prior to entry, if needed.
Applicants are strongly encouraged to enter the program with at least a 30-day supply of all current prescribed medications (with the exclusion of prescribed narcotics).
A physical examination is required prior to admissions Some applicants may be approved for admissions prior to having a physical examination, provided they agree to have a physical immediately upon entering our program. The student will be responsible for the cost of the physical exam. Test for HIV, STD’s, Tuberculosis and Hepatitis are required as part of the physical exam.
We look forward to the opportunity to help you in your recovery from drug and alcohol abuse.
** Upon Returning This Application**
Application must be submitted with a $40.00 non-refundable application fee. Application will not be processed