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Explore all the solutions you can create with Paperform: surveys, quizzes, tests, payment forms, scheduling forms, and a whole lot more.
See all solutions
Connect with over 2,000 popular apps and software to improve productivity and automate workflows
See all integrations
When someone enters an addiction recovery program, having accurate and detailed emergency contact information isn't just administrative housekeeping—it can be life-saving. This Addiction Recovery Program Emergency Contact Form template helps treatment centers, outpatient programs, and sober living facilities collect the critical information needed to support participants during crisis moments.
Unlike generic emergency contact forms, this template is specifically designed for addiction treatment settings. It captures sponsor details, identifies known relapse triggers, documents court-ordered treatment requirements, and maintains connections to sober living facilities—all the touchpoints that matter when supporting someone through recovery.
Paperform makes it easy to collect this sensitive information in a professional, HIPAA-alternative compliant way. The form adapts to each participant's situation using conditional logic, showing relevant questions based on their treatment status, living arrangements, and legal requirements.
Recovery programs can use this template during initial intake, at program milestones, or whenever contact details change. The document-style editor lets you match your organization's tone—whether clinical and structured or warm and person-centered—and you can embed the form directly into your patient portal or website.
Because Paperform integrates with tools like Google Sheets, Airtable, and your CRM, emergency contact information automatically flows into your case management system. You can also use Stepper (stepper.io) to trigger follow-up workflows—like notifying clinical staff when someone updates their sponsor information or automatically flagging participants whose court-ordered treatment dates are approaching.
Having emergency contact details organized and accessible means your clinical team can respond faster during crises, coordinate with external support systems, and ensure continuity of care. For participants, knowing their recovery community is documented and ready to support them provides an added layer of safety and accountability.
Whether you're running a residential treatment center, outpatient program, peer support network, or transitional housing facility, this template gives you a professional foundation for emergency preparedness in addiction recovery settings.