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Rally Point Sober Living

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A safe place to fall back to

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Rally Point Sober Living

  • Home
  • Services
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  • ADMISSIONS
  • Contact
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ADMISSIONS

Client Name *
$
Payee Name *
Billing Address *
Phone *
Complete if paying by check only.
Complete if paying by wire transfer only.
Complete if paying by credit card only.
Month/Year
Financial Contract *
All fees are non-negotiable and due payable at time of admission. By signing this contract as the responsible party for treatment fees, I further understand that all fees paid are non-refundable regardless of length of stay. Deposits and payments are non-refundable and non-transferable. No verbal agreement will supersede this contract. I hereby agree to hold Rally Point Sober Living harmless for any and all future claims resulting from this contract.

Thank you. A representative from Rally Point Sober Living will be in touch with you shortly.