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Ashley House Lions Heads 30% White
Redemption House of Recovery is thrilled to announce the official opening of our first Women's Pretreatment House, and we are honoured to name it "The Ashley House" in memory of Ashley Smith, who left us far too soon.
 
Ashley's family has generously shared cherished memories of her, along with uplifting words for the women who will find support in the house.
 
We look forward to walking alongside the women who come through our doors, offering support every step of the way.
Floral Border Design
In Loving Memory of Ashley
 
Our hope is that this house will be thought of as your home. A safe space where you can learn to find yourself, forgive yourself and those around you. You are all so worth this!
 
Wishing you all every success as you re-write the chapters of your life! Thank you to everyone involved in making this dream a reality.
 
Steve & Faye Smith

JOIN OUR MONTHLY DONATION COMMUNITY.

LET'S CHANGE SOME LIVES TOGETHER!

Image by Dingzeyu Li

Application For Residence

The Ashley House

Oshawa, Ontario           

647-554-4673

email: admin@redemptionhouse.ca

IMPORTANT!

YOUR APPLICATION WILL NOT BE PROCESSED UNTIL YOU HAVE FOLLOWED THE INSTRUCTIONS BELOW.

​

  1. You must complete the following Application in full and submit it to our intake team.

  2. Make Sure you fill out the Consent to Release in Section 5 so that we may communicate with any of your case workers, doctors, lawyers or other professionals that may be relevant to your case management while you are in residence.

  3. After you hit the submit button, DO NOT close your browser window or navigate away from the form until you get the Success Notification. If you navigate away or close your browser before you see the Success Notification, your form will not properly be submitted to us.

  4. Once the Application Form has been submitted, we require that the Individual interested in the program call us at (647-554-4673) to discuss why they want to enter the program and their current situation. *Please note we do not accept collect calls

RESIDENT INFORMATION

Gender
Are you pregnant?
Do You Identify as Indigenous?
Were You A Previous Resident of The Ashley House?
Are You Currently Employed?
What type of treatment are you looking for?
Were you referred to us?

If yes, by who

LEGAL STATUS

Are you currently involved in any legal matters?
Are you listed with the Ontario Sex Offender Registry?
Do you have a history of violence?
Legal Status

SOURCE OF INCOME

What is your main source of income?

MEDICAL HISTORY

Do you have any major chronic health problems?
Do you have sleep apnea or chronic snoring?
If yes, do you use a CPAP machine?
Do you have any mobility issues?
Do you have any allergies?

Please list all medication you are currently taking and the dosage.

Please note, medications prescribed are required to be taken as prescribed and can only be changed when approved by a physician or psychiatrist. Benzodiazepines, narcotics, and any other prescribed substance known to be misused will require a letter from a physician or psychiatrist stating there are no reasonable alternatives and no history of misuse.

 

Are You Currently Taking any Medications?

 

Dosage Taken of Each Medication

 

Date Started Taking Each

Month/Year

Have you ever misused any Medications (use other than what the label stated)?

MENTAL HEALTH INFORMATION

Have you ever been diagnosed with a mental health disorder?

 

Mental Health Disorder Diagnosis

 

When Were You Diagnosed? Month/Year

 

 

By Whom?

Are you currently receiving professional help to manage your mental health?
Have you ever been hospitalized for mental health?
Have you ever attempted suicide?
Do you currently have thoughts of suicide or self-harm?

PSYCHOACTIVE DRUG/SUBSTANCE USE HISTORY

CHECK EACH DRUG TYPE YOU'VE USED IN YOUR LIFE
CHECK EACH DRUG TYPE YOU'VE USED IN THE LAST 12 MONTHS

TREATMENT INFO

Are you currently registered for a Residential Treatment Center?
Have you ever been registered with a Residential Treatment Center?
Do you have any behavioural addictions (Gambling, Sexual, Gaming, Pornography, Food)?
Do you have your GAINS completed?
Are you working with any other agencies?
Do you have a case worker?

  • Vapes

  • Lighters

  • Cigars/Chewing Tabaco

  • Musical Instruments

  • All Electronics except a Cell Phone

  • Mouthwash

  • Pillows/Blankets/Towels (RHOR PROVIDES)

  • Tools/Weapons

  • Pre-workout Protein

  • No Caffeine/Energy Drinks

  • No more than 10 Days of Clothes & 2 Pairs of Shoes 

CONSENT TO RELEASE OF INFORMATION & SIGNATURE

If you are registered with a Residential Treatment Center, please provide the following:

After you hit the submit button below, DO NOT close your browser window or navigate away from this form until you get the Success Notification. If you navigate away or close your browser before you see the Success Notification, your form will not properly be submitted to us.

By signing this release/application I hereby acknowledge that all the information in this application is true. I also consent to the release of information so The Ashley House can engage in two-way communication with:

JOIN OUR MONTHLY DONATION COMMUNITY.

LET'S CHANGE SOME LIVES TOGETHER!

AshleyHouse_Logo_Concept.jpg

Interested in learning more about the work of The Ashley House and Redemption House of Recovery?  Use the form below, and we’ll be in touch soon. 

Thanks for submitting!

Contact Us

MAILING ADDRESS ONLY:

631 Montrave Ave

Oshawa On L1J4T3

admin@redemptionhouse.ca

1 (647) 554-4673

© 2025 by The Ashley House Oshawa  |  CRA # 76866 9400 RR0001

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Contact Us

Interested in learning more about the work of Redemption House of Recovery?  Use the form below and we’ll be in touch soon. 

MAILING ADDRESS ONLY:

631 Montrave Ave

Oshawa On L1J4T3

admin@redemptionhouse.ca

1 (647) 554-4673

Thanks for submitting!

© 2024 by RHOR Oshawa. |  CRA # 76866 9400 RR0001

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