Get Aventa Application

The Aventa Application is a crucial document for individuals seeking treatment at Aventa's facility. This guide provides a clear and supportive walkthrough on how to accurately complete the application online, ensuring that you provide all necessary information in each section.

Follow the steps to successfully complete the Aventa Application online.

1. Press the ‘Get Form’ button to access the Aventa Application and open it in your chosen platform.
2. Begin by filling in your personal information in the general information section, including your name, alias, address, and contact information.
3. Proceed to the housing section and indicate your current living arrangement, homelessness status, and details about your usual living situation.
4. In the referral source section, provide the name and contact information of the individual or agency that referred you to Aventa.
5. Fill out the funding source information, including your current means of financial support and the details of your funding source worker.
6. Complete the employment section by selecting your highest level of education and indicating your employment status.
7. In the addiction information section, describe how your addiction has impacted various areas of your life and any relevant family history.
8. Document your alcohol and drug history, including types of substances used, patterns of use, and any withdrawal symptoms experienced.
9. Provide detailed gambling history, if applicable, and answer any questions regarding related behaviors.
10. Complete demographic questions, including partnership status and any remaining medical or health history.
11. Finish filling out the psychological and mental health information section, clarifying any diagnoses or treatment history.
12. Review all completed sections for accuracy before proceeding to submit the application.
13. Once you have filled out the form, save changes and have the option to download, print, or share the application as needed.

Get started with completing your Aventa Application online today!