Intake form

Start your application

The application is quick, and an admissions coordinator will call you back, usually the same day. Prefer to talk first? Call or text 610-884-6619.

The application

What to expect

The form is hosted by Sobriety Hub and runs in five short sections. Most people finish in about 10 to 15 minutes, and your answers save as you go. Use the tabs or the Next button to move between sections.

General information
Recovery history
Emergency contacts
Legal history
Review & confirm

Worth having handy: an emergency contact, your sobriety date, and any current prescriptions.

Open the application →

Opens in a new tab. Prefer to apply by phone? Call or text 610-884-6619 or email info@evolivinghomes.com.

If you are in crisis, call 911 or call or text 988. · Application powered by Sobriety Hub.