If you’ve been invited to apply, follow these simple steps.

Complete the form below, and we’ll be in touch shortly.

If for some reason the form does not display correctly, contact us directly.

If you are contacting us from an Inpatient or other Treatment Program, please have your supporting professional fill out this Clinical Addendum and send it to us with their contact information.
This step is very important.

You acknowledge that by sending this information, you give permission to Firebird Transformations WRG LLC to perform validation of the application and a background check which excludes credit and personal finance history, because that’s invasive and creepy. We are focused on a good fit and protecting each other, and to do the next right thing. That cool?