Intake Form

We’re so glad you’re here. Seeds of Renewal is committed to providing a safe, supportive home for individuals facing substance abuse and mental health challenges. This intake form helps us understand your needs and how we can best support you on your journey to healing. Please take your time to complete this form as accurately as possible. If you need more time, you have the option to save your progress and return later. If you have any questions or need assistance, don’t hesitate to reach out. We’re here for you, and we look forward to being part of your new beginning.