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Simple Application Process

01

Initial Inquiry

Contact us to discuss your needs and confirm eligibility. We serve adults in Baltimore City and Baltimore County committed to recovery.

02

Verification

Submit proof of at least 30 days of sobriety. Heart Haven is a private pay program with a weekly fee of $200 and $400 biweekly (no insurance billing).

03

Intake & Move-In

Once approved, secure your spot and start your journey in a safe, structured recovery environment focused on accountability.

Sober Living at Heart Haven — Housing Application

Thank you for your interest in Sober Living at Heart Haven. This form is used for initial housing eligibility and admissions screening. Heart Haven provides sober living/recovery housing and non-clinical support. We do not provide detoxification, therapy, medical treatment, or clinical treatment. Submission of this application does not guarantee acceptance or housing availability.

Do not submit Social Security numbers, medical records, diagnoses, prescription information, or other sensitive health information through this form.

Section 1 — Contact Information

Preferred Method of Contact
Phone
Email

Section 2 — Referral Information

Are you applying for yourself or referring someone?
Applying for myself
Referral from organization or professional

Section 3 — Basic Eligibility

Have you maintained at least 30 days of sobriety?
Yes
No
Which best describes your current activity?
Working
Attending school
Volunteering
Attending 12-Step or recovery meetings
More than one of these
None currently
Are you willing to live in a substance-free sober living environment and follow Heart Haven house rules?
Yes
No
Are you willing to participate in the screening and admissions process?
Yes
No

Section 4 — Payment & Housing

Heart Haven is private pay and does not bill insurance. Can you meet the resident fee requirement?
Yes
Need to discuss payment
No
Preferred Payment Schedule
Weekly — $200
Biweekly — $400
Desired Move-In Timeframe
As soon as possible
Within 7 days
Within 2 weeks
Within 30 days
Planning ahead

Section 5 — Goals & Support

What type of non-clinical support or community resources would be helpful?

Section 6 — Acknowledgment

Date
Month
Day
Year

Admissions Requirements

Heart Haven provides a safe, structured recovery environment. Please review our baseline requirements for residency.

30 Days Sober

Prospective residents must have achieved at least 30 days of continuous sobriety prior to admission to ensure a stable foundation for recovery housing.

Active Engagement

Residents must be actively working, attending school, volunteering, or participating in 12-Step/recovery meetings to maintain structure and accountability.

Fee Structure

Heart Haven is private pay and does not bill insurance. The resident fee is $200 weekly or $400 biweekly.

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