A Father's Vision
Guest Application
Ready to ask about an AFV recovery home? Start with the Guest Application below. This application begins the intake conversation and does not guarantee admission, a particular location, or a specific bed.

Submit an Application
Telephone Screen
Plan Your Move-In
Welcome & Orientation
The application below is temporarily hosted by HubSpot while AFV prepares a replacement application flow. If the embedded form displays older contact information, use the current AFV phone and email shown here.
Application privacy
The embedded Guest Application is an admissions and placement-screening form. Complete the screening questions the form requires. Depending on the application, those questions may include substance of choice, recent-use information, prior treatment program names, treatment dates and duration, current-program details, criminal-history categories, probation, and parole status.
Provide the requested answers in the fields provided. Do not upload or paste full medical records, medication lists, diagnostic reports, laboratory results, full treatment records, court documents, or other record files unless AFV gives you an approved secure method for sending them.
Current AFV contact: 919-230-1394 · support@afathersvision.com
Important contact note: The embedded HubSpot form may still display AFV's retired number, (646) 420-0019. Until the HubSpot source form is updated, use 919-230-1394 for all AFV calls.
Having trouble with the form?
Call 919-230-1394 or email support@afathersvision.com. Do not send sensitive records by ordinary email unless AFV specifically provides an approved secure method.
