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Admission Application

If you or someone you know needs help, you may complete an application for admissions online.  

Admission Application Process:

  1. Complete the Admission Application form online.  (All information disclosed in your application will be kept strictly confidential.) 

Admission Application

  1. Within 24 hours, an Admissions Counselor will review your application, contact you by telephone with any questions, and determine the most appropriate level of care for you, either at our facility or elsewhere.  If the Admissions Counselor recommends treatment at the Betty Ford Center, your admission date will be set.

  2. The Admissions Counselor will then fax you a list of what to bring and be available to answer any other questions you may have prior to your arrival at the Betty Ford Center.

If you prefer, you may also contact us by telephone.  Our staff will answer all your questions about our alcohol and drug rehabilitation programs, the disease of addiction and its impact on the family. We can also make referrals to interventionists and other recovery services as needed.

Admissions Hours:

Monday - Friday: 6:00 A.M. to 10:00 P.M. Pacific Standard Time (PST)
Saturday - Sunday: 7:00 A.M. to 8:00 P.M. PST.

(800) 434-7365

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