Intake / Referral Form

Please complete the online intake / referral form below. If you’d prefer the paper copy click here to download the PDF intake form.

Online Intake Form

Contact Us

Contact Good Road Recovery Center with your questions.
We have trained support professionals waiting to help.

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Good Road Recovery Center
1308 Elbowoods Ln
Bismarck, North Dakota 58503

Call Us

(701) 751-8260

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