Renewed Hope of Murphy NC
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Program Application Form

THE RHM TREATMENT PROGRAM IS A “VOLUNTARY PROGRAM”. For the spiritual, physical, and emotional wellbeing of the participants, there will be restrictions in place as part of the program at RHM. There is one real requirement for admission-that a person have a desperate desire to overcome their problem with drugs and alcohol.  We have found that the only person we can help overcome their problems are those who come of their own free will, and those who have made a decision to do it for themselves and not for their wives, mother, father, girlfriends, etc.  If a person doesn’t want to be here, they will not allow us to help them.

If you’re seeking freedom from drug or alcohol addiction, fill out our program application!  There is one real requirement for admission-that a person have a desperate desire to overcome their problem with drugs and alcohol.

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Renewed Hope Ministries is not a medical facility and cannot give medical care. We are not responsible for medical expenses incurred while you are here.

I, the undersigned do solemly swear the above information (statements) is an expression of my own desire to overcome my problems with drugs and alcohol, and that it is done voluntarily, and that the statements contained herein are true. By typing in your name below as your signature you agree to this statement.

A representative of Renewed Hope Ministries will contact you as soon as they receive this form.