Healing Reflections Program Application

Please fill out the initial application form below. We will be in touch to further discuss the program within 2-3 business days. Crescent Moon Center offers scholarships based on need and accepts sliding scale donations once your application for the program has been reviewed.

 

The information you give us will be kept confidential, private, and secure. It will not be shared with 3rd parties or anyone outside our organization. However, with your permission, we would like to anonymously use some of the information you provide for the evaluation of our program. The purpose is to improve our program, our understanding of the challenges people in recovery face, and the impact of our program. Consent forms will be provided.  

Participants will be required to sign a form which ensures that the identity of all participants and any information shared in the program will be considered private, held confidential and not be shared outside of the program. 

Questions? Please don't hesitate to reach out! info@crescentmooncenter.org