Liberty House Registration

Recovery in Ft. Lauderdale, Florida!

Telephone TOLL FREE 1.866.63.SOBER

Need help right away? Fill out the “QUICK CONTACT” mini form below. A member of our Staff will contact you with in 24 Hours. If you are in need of immediate assistance please call TOLL FREE at 1-866-63-SOBER during normal Business Hours 8am until 9pm. We are available and here for you 7 days a week.

IMPORTANT INFORMATION: Use Quick Contact above for live assistance, or click on the Big Blue Button below to apply on-line now! Need Help? Call Toll Free 1.866.63.SOBER

The Liberty House

Ft. Lauderdale Florida

Apply On-line Right Now! You will be Glad you did!

Please fill out the Registration Application to apply for residence with us. If you have any question please feel free to call us Toll Free at 1-866-63SOBER.

REGISTRATION FORM

Name:
Address:
City:
State:
Zip Code:
Phone Number 1:
Phone Number 2:
Are you currently in a Detox Center?

Are you Currently in Treatment?

How did you hear about the Liberty House?

What is the best Time to Call You?

Additional Comments:

All information is confidential.

S. E. 22nd Street Ft. Lauderdale, Florida 33316

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Telephone 1.866.63.SOBER Call Right Now!