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A long-term recovery community for men and women in Lexington, Kentucky — grounded in twelve-step fellowship, accountability, and the belief that people heal in community.

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Leestown Center Way
Lexington, KY 40511

Contact

(859) 252-1939
admissions@shepherdshouseinc.com

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Shepherd's House — Putting life's pieces back together since 1989.

Admissions: (859) 252-1939

Admissions

Apply Now

A confidential application for Shepherd's House programs. Required fields are marked.

Program & Contact
Applicant Information
Emergency & Insurance
Medical & Medications
Behavioral Health
History
Final

Program Applying For

ResidentialCommunity Impact / IOPRecovery HousingSAP / DOC

Contact

Phone

Email

Applicant Information

First name

Last name

Date of birth

SSN last 4

Emergency Contact

Name

Phone

Insurance Information

Insurance provider

Medical History

Current medical conditions

Medications & allergies

Mental Health

Mental health history

Substance Use & Behavioral Health

Substances and recent use

Treatment History

Prior treatment

Legal & Trauma History

Legal history

Strengths & Goals

Why are you seeking treatment?

Recovery goal

Consent

I certify the information provided is true and accurate.I authorize Shepherd's House to contact my referral source if necessary.I understand submission of this application does not guarantee admission.

Submission Information

Annie Brookbank
Admissions Coordinator
Admissions@shepherdshouseinc.com
Phone: 859-447-4020

You are not alone. Our team will review your application and contact you as soon as possible.