In immediate danger? Call Emergency 911. Thoughts of suicide or crisis: call or text Crisis 988. Free, confidential treatment referral, 24/7: Referrals 1-800-662-HELP (4357)1-800-662-HELP

Start here. Leave blank anything you do not know.

This is not an application you can fail. It is enough for us to call you back knowing roughly where you are, so you do not have to tell the story twice.

Would you rather just talk?

Nothing on this page is faster than a phone call.

661-805-0527

Or email Eric@aftermathrehabilitation.com


What happens next

  1. We call you back about availability.
  2. A conversation about expectations, both ways.
  3. You come and see the home.
  4. We go through the house agreement out loud, then you move in.

Free. Confidential. Commits you to nothing. See our privacy notice.

This form is not monitored around the clock. If you are in danger, thinking about suicide, or someone has overdosed, call 911 or 988 now.
Please keep medical detail off this form. We are housing, not a clinical program, and we do not need your health record. A general note is plenty, and anything else is better said on the phone.

1. Who is this for?
2. How do we reach them?
The number that will actually be answered.
We house adults, 18 and over.
3. Where things stand
Working or actively looking are both fine. We just need to know which.
We do not mind which. We do expect there to be one.
Not a screening-out question. We house people on probation and parole routinely.
Please do not put diagnoses, medication lists or medical history here.
4. Permissions

You can change or withdraw any of this later by calling us.