Admissions

Start your journey with us.

Whether you're applying for yourself, supporting a loved one, or referred through your community or justice system, our admissions process is open, inclusive, and rooted in compassion.

As an Indigenous-led centre, we honour First Nations, Métis, and Inuit applicants with culturally grounded care, land-based healing, and community-first values. We also welcome those currently involved in the justice system, and offer respectful coordination with probation, parole, or case workers when needed.

Families are a vital part of the healing journey. We offer support for loved ones through the process and provide optional family engagement during and after treatment.

No matter where you're starting from, we’re here to walk alongside you.

Personal Info

Full Legal Name:

Preferred Name:

File upload

If you have please upload

Date Of Birth:

Phone:

Email:

Address:

Gender Identity :

If Other, please specify:

Pronouns:

If Other, please specify:

Marital Status:

Indigenous Affiliation:

If you have a treaty number please list it below:

Employer:

Emergency Contact

Emergency Contact Name:

Emergency Contact Phone Number:

Relationship To Emergency Contact:

Substance Use History

Primary substance of concern:

If Other, please specify:

Length of use:

Date of last use:

Have you attended treatment before?

Medical & Mental Health History

Any diagnosed mental health conditions? 

Any physical health conditions?

Any prescribed medications? If yes please list them below by name, dose, and frequency:

Currently pregnant or parenting?

Primary care provider or psychiatrist?If Yes please list their name and contact info:

Legal Status

Are you involved in justice system? If yes please briefly explain:

Support Network

Who's your support network? (Friends, Family, community organizations) If you have a case worker or NADAP worker please list them with their contact info:

Insurance & Payment Information

Destiny Recovery & Wellness Centre is a private facility. This means that payment is required through one of the following options: Band or Treaty coverage, third-party insurance, or out-of-pocket. Please ensure arrangements are made prior to intake. Our team is available to assist with coordinating coverage if needed.

File upload

If you have a copy of the needed info please attach it here

Goals & Motivation

What are your goals for recovery? And is there anything else you'd like us to know?

Signature Of Applicant:

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Rooted In Land & Spirit

Indigenous Owned & Operated

Admissions

Personal Info

Emergency Contact

Substance Use History

Medical & Mental Health History

Legal Status

Support Network

Insurance & Payment Information

Goals & Motivation