The Healing Hxouse

Request Support

Start a confidential conversation about recovery housing, referrals, employment support, or family and peer resources.

Please do not include medical records, Social Security numbers, or banking information. This form is not monitored for emergencies. Call 911 for immediate danger or 988 for crisis support.

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Full name

Email address

Phone number

Best time and safest way to contact you

I am contacting you as

Primary support needed

Preferred timeline

Anything else you would like us to know (optional)

I understand this form is not emergency or medical care.