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

Do you have a question?

Our staff are happy to assist you

Do you have a question for us? Leave your details below, and one of our team members will get in touch with you as soon as possible to answer your query.

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Privacy Policy: By submitting your application, you acknowledge and agree to The Grange’s privacy policy. We are committed to handling your data with the highest level of confidentiality and security. You may request the deletion of your data at any time. Click here to review our full privacy statement.

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