Our wonderful team is experienced in collecting the necessary information required for a successful admission. We make the process as easy as possible for you and the people you care about.
If you are a family member or individual seeking treatment, please contact Betsie Arvin at 440.693.4074 extension 103. The forms below will be used for the admissions process.
If you are a referring individual or organization, please contact Betsie Arvin at 440.693.4074 extension 103. We require an authorization for release of information form (available below) to begin the admissions process.
Hopewell admits new residents on Mondays and Tuesdays of each week.
Download all admission forms in one zip file
This single download contains all the individual forms listed below
Individual PDF Forms
Release Authorization
Begins the process of gathering information
Psychiatrist Referral Form
Provides important medical history
Family and Personal History Form
Provides critical background information
Annual Physical Form
To be completed prior to intake and updated annually
Financial Application
To be completed for financial aid requests
SNAPS Questionairre
Survey of your Strengths, Needs, Abilities, and Preferences
