Hope Haven, Inc

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Restoring HOPE one life… one family… one day at a time.

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  • MEN - WOMEN - FAMILIES - PBH - LEVEL 3

    * required - if you do not know the answer please put unsure or does not apply
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • (Date & location)
  •  
    You will need the following before admission to requested program at Hope Haven:
     
  • Picture Identification
  • Social Security Card
  •  
  • Criminal Background Check
  • Proof of Physical Examination
  •  
  • Prescriber Letter for Medication
  • Proof of TB Test
  •  
  • Verification of Homelessness Letter (if applicable)
  • Comprehensive Clinical Assessment
  •    
  • (Including your contact information if you are not being referred by a facility.)

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Hope Haven, Inc.
3815 N. Tryon Street
Charlotte, NC 28206

Phone: 704-372-8809
Fax: 704-376-0113

Homeless Services Network

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