You can submit the intake form online or fill out a printable copy. Click below to print and return the form via mail, fax, or personal drop off.
Admission into the In-Patient Residential Program requires an initial phone interview with the person needing help for the addiction.
Once RTCM has received the intake forms from you via mail, fax, or personal drop off we will give you a bed date to come to and begin the residential program if it is decided that is what is the best next step!
Send your tax-deductible love gift to:
Restart Training Center Ministry, Inc.
P.O. Box 153
Strasburg, PA 17579-0153