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Filling out the Anchorage Application Form is an important step towards accessing the Anchorage Addictions and Rehabilitation Program. This guide provides clear, step-by-step instructions to help ensure that users can complete the form accurately and effectively, facilitating a smoother application process.

Follow the steps to successfully complete your application online.

1. Click ‘Get Form’ button to acquire the application form and open it in your editor.
2. Begin by entering your personal details in the designated fields, including your full name, gender, and date of birth. Make sure you fill in all parts of your name—first, middle, and last—correctly.
3. Indicate whether you have stable housing by checking 'Yes' or 'No'. This information is essential for the assessment.
4. Provide your contact information, including phone numbers and emergency contact person, to ensure the staff can reach you if needed.
5. Answer questions regarding your usage of drugs or alcohol, including the date of your last use and if you are currently in detox. Be honest, as this information is crucial for your treatment.
6. Complete the funding section by specifying whether you are on social assistance or if you will be self-paying for treatment. This will help determine eligibility for the program.
7. Answer questions related to your legal background honestly, as this will not automatically disqualify you from entering the program, except for those currently on bail.
8. Discuss your treatment history, detailing any previous programs you have attended and the reasons for seeking treatment now.
9. Complete the medical history section by providing information about any doctors, medications, and other relevant medical concerns.
10. Finally, read through the program agreement, sign, and date the form to indicate your commitment to the treatment program and its policies.
11. Once you have filled out all sections, review your application for accuracy, save your changes, and prepare to submit it by faxing, dropping it off in person, or sending it digitally if instructed.

Take the next step towards recovery by completing your application for the Anchorage program online today.