LONG-TERM SOBRIETY THROUGH SOBER HOUSING

If you answered “Yes” to questions 1, 2, and 3 continue with the assessment to see if membership in ITHACA HOUSE is right for you.
4 Are you willing to fully participate in the adventure of sobriety?
5 Do you want to know what is next on your journey?
6 Do you have faith that with sobriety good things are in your future?
If you answered “yes” to even one of the questions above, ITHACA HOUSE may be right for you.  Call us at 866 41-SOBER or complete the form below to schedule a consultation at no cost.
Please take the time to answer the questions below. It only takes a few minutes and we will get back to you with information regarding how we can help. (* indicates required fields) 
Who do you know that needs addiction treatment? * What are you struggling with?
Self
Daughter
Wife/Partner
Mother/Grandmother
Friend
Co-worker
Other
Alcohol
Drugs
Both Alcohol & Drugs
Anxiety
Mood: (Depression, Mania or Bipolar)
Eating: (Anorexia, Bulimia or Binge Eating)
Other
Do you think you need a medically supervised detox? * Have you been in treatment before? *
What else do you need that might help you get sober? *  
Legal help
Family support or  involvement
Extended Recovery Center care (more than 30 days)
Intervention
Physical Care (Nutritionist, Exercise Program, Yoga, Massage,  etc.)
Continued Care (Outpatient Program while at ITHACA HOUSE or another Sober Living)
Transportation (airline reservations, airport pick-up, sober accompaniment on your flight, etc.)
Financial Plan  (help evaluating how best to pay for ITHACA HOUSE)
Other
6. Please enter contact information so we can respond to you with our very best information and referrals.   All of your information is held with care and confidentiality. Please, don’t worry.
First name *  
Last name  
Postal code  
Email address *  
Phone number  
 

Call us at 866 41-SOBER
 
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®2009 ITHACA HOUSE, LOS ANGELES, CA 90031