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    • Substance Use Disorders
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  • About Us
    • Our Approach
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  • Treatment
    • Detox
    • Inpatient
    • PHP
    • Intensive Outpatient
    • Outpatient
    • Sober Living
    • Medication-Assisted Treatment
    • Therapy
  • What We Treat
    • Substance Use Disorders
    • Mental Health Disorders
    • Trauma
  • Locations
    • Laconia, NH – Outpatient
    • Laconia, NH – Sober Living
    • Williamson, WV – Inpatient
    • Uniontown, PA – Sober Living
    • Telemedicine
  • Admissions
    • Verify Insurance
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  • Blog
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  • Contact Us
Call Us Today:
(866) 861-9772
kathy ireland® Recovery Centers

Forms

For services at our Treatment centers, please contact Admissions directly at (866) 861-9772.

For Patients

Laconia Sober Living Application (online)

Uniontown Sober Living Application (online)

For Healthcare Professionals

Referral Form (pdf)

Or you may download, print, and email your form to info@kathyirelandrecoverycenters.com.
Laconia Sober Living Application (pdf)

Uniontown Sober Living Application (pdf)

Contact us today to learn more.

Our network of facilities created by kathy ireland® Recovery Centers by Ascension Recovery Services provide a path to successful recovery from substance use disorders.

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