Apply

Download the application package for your program, complete it with your support team, and fax it to our intake team.

Application packages contain personal and medical information. Faxing is the safest way to send them as it keeps your information private and protected. If faxing isn't possible, call the intake team for your program before sending and they'll advise on the best option.

Family Program
 (250) 723-7789

Fax completed packages to 250-723-5926. One Application is required per family member.

Adult Application#
Fillable PDF
2025
Application Checklist
Fillable PDF
2025
Child & Youth Application
Fillable PDF
2025
Infant & Toddler Application
Fillable PDF
2025
Supportive Recovery Program
 (778) 421-7565

Applications are handled directly through the intake coordinator. Call to start the process and the intake team will walk you through everything you need.

Rebuilding the Circle
 (778) 421-8811

Fax completed packages to 250-723-5926

Healing Program Application#
Fillable PDF
2025
Restoration Program Application
Fillable PDF
2025

Need help with your application?

Your referral worker helps complete most of the package. If you don't have one yet, call the intake team and they can point you toward the right support.