What happens after I send the intake form?

Our admissions team reads every submission and replies personally, usually the same day. The first step is always a confidential conversation, not a commitment.

Do I have to share medical information?

No. The form deliberately does not ask for diagnoses, medications, substance amounts, or records. Please leave those out and we will talk them through with you directly if they matter for fit.

Can a family member fill this in for someone else?

Yes. Families, partners, friends, referring professionals, and interventionists can all use the form. Choose who you are enquiring as in the first question.

Is the form confidential?

Yes. Submissions go to authorised Halo Ridge staff only, and we never sell or share your information for marketing. You can ask us to delete it at any time by emailing connect@haloridgerecovery.com.

Would you rather I just called?

Either works. Call +1 800-915-4797 toll free or +1 778-675-3266 for admissions, open 24 hours. The form simply means you can start outside of a phone call.

Do you provide detox or medical care?

No. Halo Ridge is a private live-in recovery program, not a medical or hospital facility, and we do not provide detox, withdrawal management, prescribing, or diagnosis. Where those are needed first, we can help connect you with a third-party provider.

Great room at Halo Ridge Recovery with a river-rock fireplace lit, leather sofas, guitar in the corner, and light wood floors

Intake

Starta confidential enquiry

Name: Halo Ridge Recovery
Address: 8100 Forbidden Plateau Road, Courtenay, BC, V9J 1L2, CA
Telephone: +1 778-675-3266
Price range: Private pay

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A short form for individuals, families, partners, friends, and referring professionals. It takes about two minutes, asks for no medical details, and goes straight to our admissions team.

How it works

What is the Halo Ridge intake form?

It is a short confidential form that starts an admissions conversation about private live-in recovery near Courtenay, British Columbia. You answer a set of simple multiple choice questions, add a first name and an email, and our team replies personally, usually the same day. You can also call +1 800-915-4797 toll free at any hour instead.

Intake form

Please do not include diagnoses, medications, or other medical details. We will talk those through with you directly.

I am enquiring as

Country

Province or state

Age range of the person seeking support

Main area of concern

How soon is support needed

Program length of interest

Budget readiness

Has a program been attended before

Best way to reach you

Best time of day

How did you hear about us

First name

Phone (optional)

Anything you would like us to know (optional)

Please leave out medical details, diagnoses, and medications.

I agree that Halo Ridge Recovery may store these answers and contact me about my enquiry. I understand this form is not a medical record and is not a crisis service. See our privacy practices.

Prefer to talk?

Call +1 800-915-4797 toll free or +1 778-675-3266 for admissions. Lines are open 24 hours and every call is confidential.

In an emergency

If you or someone you care about is in immediate danger, call 911 or your local emergency services. This form is not monitored as a crisis line.

What we do not ask for

No diagnoses, medications, substance amounts, treatment records, dates of birth, or home addresses. Those belong in a conversation, not a web form.

Reading more first is completely fine. How admissions works and what private rehab costs in BC.

Questions

About the intake form

What happens after I send the intake form?: Our admissions team reads every submission and replies personally, usually the same day. The first step is always a confidential conversation, not a commitment.

Is the form confidential?: Yes. Submissions go to authorised Halo Ridge staff only, and we never sell or share your information for marketing. You can ask us to delete it at any time by emailing connect@haloridgerecovery.com.

What happens after I send the intake form?: Our admissions team reads every submission and replies personally, usually the same day. The first step is always a confidential conversation, not a commitment.

Is the form confidential?: Yes. Submissions go to authorised Halo Ridge staff only, and we never sell or share your information for marketing. You can ask us to delete it at any time by emailing connect@haloridgerecovery.com.

Do I have to share medical information?: No. The form deliberately does not ask for diagnoses, medications, substance amounts, or records. Please leave those out and we will talk them through with you directly if they matter for fit.

Would you rather I just called?: Either works. Call +1 800-915-4797 toll free or +1 778-675-3266 for admissions, open 24 hours. The form simply means you can start outside of a phone call.

Do I have to share medical information?: No. The form deliberately does not ask for diagnoses, medications, substance amounts, or records. Please leave those out and we will talk them through with you directly if they matter for fit.

Would you rather I just called?: Either works. Call +1 800-915-4797 toll free or +1 778-675-3266 for admissions, open 24 hours. The form simply means you can start outside of a phone call.

Can a family member fill this in for someone else?: Yes. Families, partners, friends, referring professionals, and interventionists can all use the form. Choose who you are enquiring as in the first question.

Do you provide detox or medical care?: No. Halo Ridge is a private live-in recovery program, not a medical or hospital facility, and we do not provide detox, withdrawal management, prescribing, or diagnosis. Where those are needed first, we can help connect you with a third-party provider.

Can a family member fill this in for someone else?: Yes. Families, partners, friends, referring professionals, and interventionists can all use the form. Choose who you are enquiring as in the first question.

Do you provide detox or medical care?: No. Halo Ridge is a private live-in recovery program, not a medical or hospital facility, and we do not provide detox, withdrawal management, prescribing, or diagnosis. Where those are needed first, we can help connect you with a third-party provider.

Halo Ridge Recovery is a private live-in recovery program. We are not a hospital, medical facility, or licensed treatment centre. We do not provide medical care, detox or withdrawal management, prescribing, or diagnosis. Where those services are needed, we can help connect you with a third-party provider so support starts sooner rather than later.