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 = $1,890.00

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 AgreementConfirmation of Income
Please fill out the form below to complete your application to A New Tomorrow Treatment Centre.
Adult Registration Form Combined

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, fentanyl, oxycodone, codeine, morphine, hydromorphone) 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, amphetamines, methamphetamine, bath salts) Please provide as much detail regarding your substance use history below.


Benzodiazepines

(e.g. valium (alprazolam), Xanax (diazepam), Ativan (lorazepam)) Please provide as much detail regarding your substance use history below.


Other

(e.g. mushrooms, ketamine, PCP, LSD, MDMA, solvents, etc.) 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.


Funding Information

There is a per diem cost for A New Tomorrow Treatment Solution LTD. of $45 per day for 42 days for a total of $1,890.00.

There are several ways to receive funding

  1. If on an income assistance or Person's with Disabilities, an application can be made to Ministry of Social Development & Poverty Reduction (form is available here). Rent is covered while in treatment (maximum allowable is $375 per month) and a comfort allowance only is issued.
  2. A First Nations person with status can apply to the First Nations Health Authority (Suite 540-757 West Hastings Street Vancouver BC V6C 1A1 Tel: 604-693-3261 Fax: 604-666-3867) or they may be able to approach their band for funding. Confirmation from funder in writing is required.
  3. Self Pay. The applicant must be prepared to pay the full amount upon admission. Please review our refund policy below.
  4. Extended Benefits - A New Tomorrow Treatment Solution LTD. requires a letter from the applicant's provider to accompany this application.
  5. Applicants may apply to their health authority through their Case Manager/Counsellor for an Accomodation Fee Subsidy for partial or full payment. See your case manager for details

Treatment Program the participant (listed below) will be paid in the following way (please select and fill out the options below


Applicant or Family Paid

Please provide the following information


Ministry of Social Development & Poverty Reduction

Please complete the form 'Confirmation of Income' linked below and then attach using the 'choose file' button.

Confirmation of Income Document


Accomodation Fee

Please attach the relevant Health Authority Accomodation Fee Subsidy Approval Form


Employer Paid

Please attach letter from employer confirming support


First Nations Health Authority

Please attach confirmation


Unable to Provide Funding

If finances are a barrier to accessing services at A New Tomorrow Treatment Solutions LTD., please contact our social worker at 778-694-2320


Participation Agreement

I understand that A New Tomorrow is an abstinence-based program and there are expectations regarding my conduct while a participant in the program. I agree to the following:


Sign Here

Submit your application

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


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