Get Oxford House Reentry Application

Filling out the Oxford House Reentry Application is a crucial step in securing a supportive living environment for individuals in recovery from substance use disorders. This guide provides clear, step-by-step instructions to assist you in completing the application effectively and accurately.

Follow the steps to successfully complete your application online.

1. Press the ‘Get Form’ button to access the Oxford House Reentry Application and open it in your preferred form editor.
2. Begin by entering your printed name in the designated field, ensuring to include your last name, first name, and middle name.
3. Fill out your date of birth by selecting the appropriate month, day, and year from the provided fields.
4. Provide your current address, including street, city, state, and zip code. If applicable, check the box indicating that you are in a treatment facility.
5. Indicate your phone number where you can be reached, including both home and work numbers, if available.
6. Answer the questions regarding your alcohol and drug use by selecting 'Yes' or 'No' and provide relevant dates of your last drink or drug use.
7. List all drugs you have used addictively in the given field.
8. Indicate the date you attended your first Alcoholics Anonymous (AA) or Narcotics Anonymous (NA) meeting.
9. State how many AA/NA meetings you currently attend each week.
10. Confirm your desire to stop using alcohol and addictive drugs by selecting 'Yes' or 'No'.
11. Provide your employment status, including the name of your employer if applicable.
12. Indicate whether you receive any welfare or non-job-related income, and specify the type.
13. If you are currently unemployed, state whether you plan to seek employment and describe any job plans.
14. Fill out your current monthly income and estimate what your monthly income will be next month.
15. Select your marital status from the options provided.
16. Indicate whether you have a medical doctor and provide their contact information if applicable.
17. Answer whether you have previously attended a treatment facility for addiction and provide details if you have.
18. Indicate if you take prescription drugs and list them along with the reasons they have been prescribed.
19. Fill out the remaining questions on the form, including your move-in date preference.
20. After completing all sections, review your application for accuracy and clarity.
21. Finally, save your changes, and download or print a copy for your records. You can then submit the completed application to the designated county address.

Take the first step towards recovery by completing your Oxford House Reentry Application online today.