Get Help Now — We’re Here for You
You don’t have to do this alone. We’re waiting on you and ready to help. Call us right now, or fill out the form below and our intake team will get back to you.
Confidential · Free to call · Faith-based, never preachy
Confidential Intake Application
Mercy House Adult Teen Challenge
Step 1 of 4 — 25% complete
✓ Low cost program — Financial help available
Need a shorter form?
If the full form is too long or difficult, you can submit a condensed version with just the essential information. Our staff will follow up by phone to collect additional details.