Adult Treatment Application

Referral Admission Guidelines and Information

  • A New Tomorrow is not a detox or withdrawal management facility therefore, a minimum of 7 days substance free is required. Clients arriving who require medical detox will not be admitted
  • A New Tomorrow is able to assist with connection to medical withdrawal management if required
  • All participants are drug tested during intake
  • Referrals from correctional facilities must have a release date in order to be accepted

Applicant Admission Guidelines

  • You will be contacted when all information is received and you are determined eligible for admission
  • Methadose/Suboxone/Kadian applicants must come with their original triplicate prescription upon admission. The prescription is required to cover the duration of the program
  • Bring any 3rd party insurance coverage as you are responsible for medication costs both prescription and over the counter

If you do not have insurance and require assistance please advise the Intake Coordinator for assistance. Fees are payable at the time of admission. $45.00 per day for 6 weeks = $1,680.00

In addition to your Treatment Application Form, you will need to complete the following forms prior to entering treatment. Please complete these at your convenience.

Covid Admission Guidelines – effective April 6, 2023, COVID-19 Screening is no longer required; however, please self isolate when ill, practice good hand hygiene and respiratory etiquette and maintain respect for personal space.
Pre-Admission ChecklistParticipation AgreementFunding Information form (This is mandatory to complete your applicationConfirmation of Income
Please fill out the form below to complete your application to A New Tomorrow Treatment Centre.
Adult Registration Form

PART A - Information Questionnaire

To be completed by Participant with assistance, as needed.


Finances


Emergency Contact


Education


Cultural Information


Legal History


Housing / Accomodation


Mental and Physical Wellbeing


PART B - Substance Use and Treatment History Questionnaire

Please provide as much detail regarding your substance use history below


Opioids

(e.g. Heroin) Please provide as much detail regarding your substance use history below.


Alcohol

Please provide as much detail regarding your substance use history below


Nicotine

Please provide as much detail regarding your substance use history below


Stimulants

(e.g. Cocaine) Please provide as much detail regarding your substance use history below


Benzodiazepines

(e.g. Valium) Please provide as much detail regarding your substance use history below


Other

Anything that doesn't fit the above categories. Please provide as much detail regarding your substance use history below


Circle of Care

Please indicate additional people within your circle of care that you would like to be included in planning and supporting your care.


Social Worker

Please provide social worker details if you'd like them included in planning and supporting your care.


Counsellor

Please provide Counsellor details if you'd like them included in planning and supporting your care.


Mental Health Worker

Please provide Mental Health Worker details if you'd like them included in planning and supporting your care.


Family/Friend

Please provide Family/Friend details if you'd like them included in planning and supporting your care.


Elder

Please provide Elder details if you'd like them included in planning and supporting your care.


Physician

Please provide Physician details if you'd like them included in planning and supporting your care.


Parole Officer, Probation Officer, Bail Supervisor

Please provide Parole Officer, Probation Officer, Bail Supervisor details if you'd like them included in planning and supporting your care.


Other (psychiatrist, psychologist, mentor etc.)

Please provide details if you'd like them included in planning and supporting your care.


Submit your application

If you proceed to intake, further information will be obtained from one of our staff regarding those in your care team.