Residential Services Application Instructions
1. Access the Residential Application Packet and read the following sections:
2. Complete and submit the following forms only:
P.O. Box 11
Bloomington, IN 47402
Attn: Men's House or Women's House
Men's House: (812) 336-9020
Women's House: (812) 323-0144
Or drop off at:
645 N. Walnut St.
Bloomington, IN 47404
See Google Map to the right for directions.
Use the following link, if you have an application that is currently being processed and need additional Release of Information forms.
Click here of our
Notice of Privacy Practices
Please feel free to contact us between 9am and 4pm Monday through Friday with any questions.
Phone: (812) 336-2812
E-mail: jhall <at>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