Livermore Intake Form

Our Program Intake Team is here to answer all your questions. 
Call or fill out the form below and we will be in touch with you as soon as possible. The Livermore intake phone number is 925-487-4147.

  • Submit your application to only one location
  • Do not apply on behalf of someone else
  • Response may take 24 – 48 hours (M-TH).
  • The Intake process can take up to 2 weeks as space is available. Sometimes it is sooner.
  • Applicants upon arrival will be required to complete a TB and COVID test. Staff will make arrangements. If you have a current TB test, please fax your results to 925-449-3114.