#2
Open form ↗Family Resident Agreement
Review and complete the rules and expectations agreement for residents in both recuperative care homes and recovery residences.
Forms + resources
A clear start makes room for what comes next.
Use the forms below to begin your stay, keep your information current, and understand the agreements that help our homes remain safe and supportive.
Before you begin
Start with forms 2–6 when you are welcomed into an Empowering Potential House.
Ensure your name is in the same format on each form. If you have questions, call 619-500-3987.
Start here
Intake forms
Complete the forms that apply to your housing or care setting. Each button opens the original working form.
#3
Open form ↗Statement of Recovery Rights
Review the rights and protections that support recovery residence living.
#4
Open form ↗Enforcement of Policies and Grievance Policies
For Recovery Residence clients.
#4.5
Open form ↗Enforcement of Policies and Grievance Policies
For Recuperative Care / STPH clients.
#5
Open form ↗Resident Confidentiality / Release of Information
Provide consent for appropriate information sharing.
#6
Open form ↗Medication Policy
Review the medication expectations for residents.
#7
Open form ↗Swimming Pool Waiver
Complete only if the waiver applies to you.
Keep things current
Maintenance forms
Use these forms for common resident requests and updates during your stay.
Overnight Request Form
Request approval for an overnight absence.
Medication Update Form
Share an update to your medication information.
Address Information Form
Provide information for a PATH or ID request.
Behavioral Contract
Document expectations and a plan for moving forward.
Need a home first?
We can help you take the next step.
If you’re exploring housing for yourself or someone you support, send us a few details and we’ll help you understand what comes next.