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Your Info
History
Personal

Name and Info

Name

Phone Number

Date of Birth

Current Living Situation

Usage

Clean Date

Drug of Choice

Currently in treatment?

Yes No

If yes, admit date

If yes, where

If yes, are you

Discharged Still attending

History

Have you ever been to a halfway house

Yes No

If yes, where and when

What do you hope to obtain from moving into a recovery residence?

Personal

Currently Employed

Yes No

Medical Issues

Medications

Psychiatric Diagnoses

Legal Issues

Ever been charged with violent crimes?

Yes No

Transitions Gateway is a group of sober homes located throughout Port St. Lucie, FL. Start your recovery today by contacting one of the most trusted sources for sober living on the Treasure Coast!

Residences

Contact Us

160 NW Central Park Plaza Port St. Lucie, FL 34986

(772) 934-9797

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