Admission Request Form

**Completing the Admission Request Form is necessary in order to be placed on a wait list. Intake Coordinators will contact you if or when a bed is available.

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General Contact Info

304-523-HOPE or [email protected]

Location Contact Info

[email protected] (Huntington-men)
[email protected] (Bluefield-men)
[email protected] (Charleston-women)
[email protected] (Parkersburg-men)
[email protected] (HER Place-women)