Every Arkansan Recovery expects complete honesty during the completion of this application. If you have questions or concerns please contact EA Recovery. False or misleading information found on this application may lead to immediate dismissal from the program at the Directors discretion.

This application should take around 15 minutes depending on how complex your situation.

Sections include: Personal Information, Qualifying Questions, Medical Conditions, Legal Issues, Family, and Closing Remarks. Please make sure you fill out each section and submit to ensure we receive this application.