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Request for Admission

Please fax your completed form to 780-532-3253 or  email our Program Manager here

Please note that submitting your application does not guarantee you a space in our program. Admission is determined after an intake interview and based on availability.

Request for Admission 2017
Admission forms
Download (526KB)
Housing Admission Form
Request for admission into our Residential Treatment program.
Download (239KB)