Application Forms

Day Program Application 2025

Return all pages by email to admissions@poundmaker.org or by fax to our admissions department at
(780)459-1876. Omitted information, incomplete or illegible answers may delay your admission.

 

Post Treatment Housing Application 2025

Return all pages by email to Libby-Szarka@poundmaker.org or by fax to our admissions department at
(780)459-1876. Omitted information, incomplete or illegible answers may delay your admission.

 

Iskwew Healing Lodge Application 2025

Return all pages by email to admissions@poundmaker.org or by fax to our admissions department at
(780)459-1876. Omitted information, incomplete or illegible answers may delay your admission.

 

 

 

 

 

 

 

 

Treatment Application 2025

90-Day Young Adult Treatment Application 18-24 years old

Detox Application 2023

List of items for Treatment