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Hope Starts Here

Join the Program and Rediscover Your Life

Complete the form 

Please allow up to an hour to complete the form. You will not be able to save your information for later. 

2

Review Our Rules

1. Absolutely no use of mood-altering chemicals

2. No physical or emotional violence or threats of violence

3. No sexual, romantic, or exclusive relationships within the program

4. Lying or stealing will not be tolerated

5. No violation of curfew

6. Particiipation in the program is absolutely mandatory

Client Information

Birthday
Month
Day
Year

Reason for Contact

Reason for Contact

P.O. Box 540, Wildwood, Florida 34785

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Help

Contact Us

Intake Form

Phone: (352) 399-6446

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The program was incorporated and is a charter act under the State of Florida in 2014. It also holds a Federal Exemption Status under 501(c) (3) as a non-profit charitable organization.  

A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE (800-435-7352) WITHIN THE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE. Florida Registration Number CH45320.

© 2014-2026 House of Hope Florida - All Rights Reserved

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