Get help
You're not too far gone. There is a way home.
The first step toward a spot at Reconciliation Ministries is our intake form. Fill it out today and our intake coordinator will reach out to you personally.
If you or someone else is in immediate danger, call 911. For a mental health or substance use crisis, you can call or text 988.
Step one
Intake eligibility checklist.
Please fill out the intake form in full, making sure all information is accurate and complete. Your responses will be used to assess your eligibility for admission into our program.
About 10 to 15 minutes · 19 questions
- 1About you
- 2Health
- 3Background
- 4Commitments
Step 1 of 4
About you
A few basics so we know who we're talking with.
1. Complete the intake form
Answer honestly and completely. It takes about 10 to 15 minutes.
2. Talk with our intake coordinator
We'll review your answers and call you to talk through whether RM is a fit.
3. Take the next step together
If it's right, we'll walk with you toward entering the program. If not, we'll help point you toward help.
For families, pastors and counselors
Referring someone you love?
The intake form above needs to come from the man seeking help, in his own words. If you're a family member, pastor or counselor, tell us about yourself and about him, and our intake coordinator will reach out to you.
1. Tell us about you
Your name, how you know him, and how to reach you.
2. Tell us about him
Share only what you're comfortable with. Only his first name is required.
3. We'll reach out to you
Our intake coordinator will talk with you about how to help him take the first step.
Questions