Print and Mail, Fax, or Apply Online

PRINT the [PreAdmission Form] and mail to:

Bristol Lifestyle Recovery
% Fairview Housing
P.O. Box 5746
Johnson City, TN  37602

FAX your completed PreAdmission Form to:

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.

Click Here for PreAdmission Form