Freedom Counseling Services LaFayette, GA 30728 (706)506-7792
Freedom Counseling ServicesLaFayette, GA 30728(706)506-7792

THREE FORMS ARE REQUIRED FOR ADMISSION. THESE INCLUDE: The Yobel Application, The Financial Arrangements and The Medical Form. These must be completed per instructions and faxed to the office for the application process to be completed. If you are on probation or parole and required to report your residence to your officer, you must also complete the Criminal Justice Release of Information Form and fax it in with the application.

Yobel Application

Yobel is the Recovery Residence Program of Freedom Counseling Services. Please download this application and complete it. If you have any questions concerning the application or admission process, please call the office at 706-764-1460. The number is listed on the application.

D9 Yobel Application - 03-28-16.pdf
Adobe Acrobat document [214.7 KB]

Financial Requirments

The Financial Requirments are listed on the Financial Info page or on the last page of the application (see above). No one will be refused admission based on the inability to pay the Administrative Fee, but payment arrangements must be made with the Administrative before the Application will be processed.

A2 Update on Financial Agreement 1-05-17[...]
Adobe Acrobat document [94.3 KB]

Medical Form

This form must be completed by a medical doctor or registered nurse before admission will be considered. Please do not fax an incomplete medical form.

D6 Medical Form.pdf
Adobe Acrobat document [65.9 KB]

Bring List

Please secure the items on this list as soon as you are approved for admission and be prepared to come as soon as you are assigned a bed.

A3 Bring List.pdf
Adobe Acrobat document [90.8 KB]

Criminal Justice Release of Information Form

If the client is on probation and required to report to probation or is legally required to be in the program, this form must be completed and returned with the application.

B3 ROI Criminal Justice Client.pdf
Adobe Acrobat document [118.2 KB]
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