Ark Transition Village

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📬 Reach out, we are here when you are ready

Whether you’re starting over, breaking free, or just looking for someone who understands –

Ark Transition Homes is here to walk with you.

Every journey starts with a simple conversation.

No judgment. No pressure. Just support, safety, and next steps.

arktransitionhomes.biz@gmail.com

+19042343243

Jacksonville, Florida

Ark Transition Village, Inc. – Participant Application – 

Contact us

First name

Last name

Admission Date

Gender M F Trans Non-Binary

Phone number

Email

Home Address

Do you own a vehicle? Yes / No

City

State

If yes…Year? Make? Model? Color

How did you hear about this program?

License Plate Info: State: Plate Number: Exp Date (mo./yr.): Insurance Co: Policy #: Exp Date:

Do you identify as someone who struggles with drugs and/or alcohol?

Do you plan on working a program of recovery (12 Step based)?

Are you attending or will you be attending an IOP/OP Program?   Yes / No

If so…Program Name: __(Please add to ROI in section below) Medications: Medical History/Issues:__

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Location

Jacksonville, Florida