Des Moines Sober Living

Start your
recovery journey.

Complete the application below. We review every submission personally and will contact you within 48 hours to discuss next steps.

Application received.

Thank you for your application. We'll review it and contact you within 48 hours. If you need immediate assistance, call 515-518-9417.

1 Personal Information

Full Name *

Date of Birth *

Phone Number *

Email Address *

2 Recovery Background

Current Living Situation (optional)

Treatment History (optional)

Sobriety Date (optional)

Substance(s) of Choice (optional)

Are you currently employed? (optional)

Yes No

3 Emergency Contact

Name *

Relationship (optional)

Phone *

4 A Little More

How did you hear about AfterHouse? (optional)

Anything else you'd like us to know? (optional)

I understand AfterHouse Recovery is a sober living environment and I commit to maintaining sobriety while residing here. *