Welcome to Sandy Paradise Recovery

Sandy Paradise is a transitional living home in a quiet neighborhood, offering a safe, supportive, recovery-focused environment for individuals seeking sobriety.

Please complete this referral form fully to help us determine if the individual is suitable for a Sandy Paradise Recovery residence. Our team will review and follow up accordingly.

Referral Source Information

First Name

Last Name

Organization (if applicable)

Phone

Relationship to Referred Individual

Referred Individual Information

Full Name

Current Living Situation

Date of Birth required

Expected Discharge/Availability Date:

Clinical & Recovery Information

Substance Use History:

Mental Health Diagnoses (if known):

Current Medications:

Level of Care Engagement (IOP, therapy, case management, etc.):

Motivation for Recovery (brief description):

Behavioral & Background Information

History of Violence or Aggression?

Yes

Legal or Probation Involvement?

Yes

History of Evictions or Housing Issues?

Yes

If Yes to any questions, please explain:

Additional Details

Any Accessibility or Special Needs:

Additional Notes or Comments:

Next Steps

Our admissions team will review your submission in 24–48 hours. If the guest appears suitable, we'll contact you with an intake form or schedule a pre-admission screening. Thank you for helping someone begin their recovery journey at Sandy Paradise.

Thanks for submitting!