Registration Form

"It's brave of you to take this step in seeking help for your addiction"

Gert

"At The Grange, you can easily sign up online for treatment at one of our locations. We will need some information from you to proceed. After completing the form, we will contact you on the same business day to schedule your intake. After your registration and intake interview, we will work with you to determine which treatment and locations best meet your needs." ~ Gert

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Do you need help? We are here to assist you with your addiction. Please leave your details below, and one of our team members will get in touch with you as soon as possible.

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Privacy Policy: By submitting your application, you agree to our privacy terms. The Grange handles your data with the utmost care. You can request deletion of your data at any time. View The Grange’s privacy statement here.

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