Print and Mail, Fax, or Apply Online

PRINT the [PreAdmission Form] and mail to:

Bristol Lifestyle Recovery
P.O. Box 371
Bristol, TN  37621

FAX your completed PreAdmission Form to:
1-866-221-5460

Select the button to complete the Online Application.  Important Note:  You must use a computer to complete the secure form online.  Cell phones and other mobile devices are view only.

Apply Online Here