Residential Services Application Instructions      

 
1. Access the Residential Application Packet and read the following sections:
  • Residential Application Process
  • Requirements for Admission   
  • Confidentiality Information             
  • Orientation Policy
  • Community Agreements  

2. Complete and submit the following forms only: 3. Mail, fax or drop off your application: 

    Mail to:                            
    Amethyst House            
    P.O. Box 11                            
    Bloomington, IN 47402    
    Attn: Men's House or Women's House
   
    Fax to:
    Men's House:         (812) 336-9020
    Women's House:    (812) 323-0144                                       
                                              
    Or drop off at:                          
    Outpatient Office 
    645 N. Walnut St. 
    Bloomington, IN  47404 

                 See Google Map to the right for directions.
​

Click here for our
Notice of Privacy Practices

 Contact Information

Please feel free to contact us between 9am and 4pm Monday through Friday with any questions.

Admissions Coordinator
Phone:  (812) 336-3570 ext 227
E-mail:   jhall@amethysthouse.org  

Once we receive your residential application you will be placed on our waiting list.  We offer preferential admission for pregnant women and IV drug users. While on the waiting list please submit a Tuberculosis screen completed within the last 90 days and a proof of a physical exam completed within the last six months. Most importantly please check-in by calling the appropriate house once a week to keep your application active.  

Once we have all the required documentation an interview appointment will be scheduled. Following the interview the application will be evaluated by our Treatment Team to determine if you are appropriate for the program.  

If taking approved prescription medication(s), you must have at least one month's supply upon admission.  

Directions for Outpatient Office