Applications
REQUEST FOR ADMISSION – RESIDENTIAL SUBSTANCE USE
Download, fill out and send your completed request to: Attention – Intake.
Residential Admissions Phone: (775) 934-8537
Office: (775) 461-0999 Fax: (775) 461-0062
[email protected]
You may also mail your completed request to:
Vitality Unlimited Business Office
PO BOX 2580
Elko, Nevada 89803
(775) 738-4158
SLIDING FEE SCALE
Fill out the Self-Declaration Form and the Sliding Fee Application form if you are applying for the sliding-fee scale.
Download, complete, print and return to the Vitality Unlimited CCBHC that will provide you services. Call the appropriate CCBHC with any questions.
AFFORDABLE HOUSING APPLICATION
Fill out the APPLICATION FOR OCCUPANCY if you are applying to live in Vitality’s low income housing, veteran housing, senior housing, or transitional housing.
Download, print, complete and fax to Lovia (Vi) Larkin at (775) 778-9501 or scan and email to [email protected]. Call (775) 738-4158 with any questions.
REQUEST FOR ADMISSION – VITALITY TRANSITIONAL LIVING IN SUN VALLEY
Download, fill out, and send your completed request to: Attention – Vitality Transitional Living.
Transitional Living Admissions Phone: (775) 461-0999 ext. 205
Fax: (775) 461-0062
[email protected]