Program Rules Overview
There is no Landlord-Tenant relationship between the resident and Fieldstone House, so there are NO rights to stay, except by abiding by the program rules and directions of the staff. Initial ______
Note: Once accepted into the program, Residents are to call the House Manager for instruction on what to bring into the Fieldstone House.

Residents are expected to follow all internal house rules as explained by the House manager/GM. Violations of these rules will result in loss of privileges or termination from the program. The GM/House mgr is responsible for the safe and smooth operation of the house and for insuring that all Residents follow all rules and attend all meetings. The House Mgr/GM has authority to breathalyze and/or drug test at will and if necessary ask any Residents to leave immediately for insobriety or excessive violation of the House Rules or for generally not being willing to follow the spirit of the program of recovery. Continued violations of House Rules will result in increasing loss of privileges. This penalty system will be fully explained at check-in to the program. Initial ______.

The program at Field Stone House will include house meetings and 12 step Recovery Programs including outside meetings, 90-90, sponsor and service work. Recovery is our primary focus to help a new way of living. Initial ______

Residents will attend a minimum of (7) 12 Step meetings per week until 90-90 is complete. House meetings are mandatory. Initial ______

Residents must record their coming and going from the house at all times by completing a house log book and by informing the Fieldstone Management of your whereabouts at all times. This is an issue of your recovery and will not be overlooked. Residents desiring to leave the house for longer than 24 hours must have submitted a written request one week in advance. The request form is available from the Fieldstone Management. Except for approved emergencies, there are no overnight stays during the first 60 days of your program. Initial ______

Residents will observe a 10 pm to 6 am curfew every night, except when approved by the Fieldstone Management for family or sponsor visits, or for nightly work schedules. Fieldstone Management requires a “two-person” rule as mandatory “after dark”. “After dark” is considered when outdoor lights have been turned on. This is an issue of your recovery, and will not be overlooked. Initial ______

The guest’s of Residents are not allowed in the bedrooms at any time. Approved guests (close family, etc.) will be allowed in the house per house manager notification. Initial ______

If a Resident has been asked to leave by the Fieldstone Management for whatever reason, Resident agrees to immediately leave the premises. After that, Resident has 24 hours to retrieve any remaining personal property. Fieldstone Management will not be responsible for the loss, theft, or destruction of personal property or other valuables. Participation in the Fieldstone Program is at the Resident’s risk.
Initial ______

Residents are subject to random drug and/or alcohol tests and room searches at any time. Residents should expect to be tested for drugs and alcohol at least once a week. Residents must maintain themselves in an alert orientation at all times. If your prescription meds cause you to be groggy or to oversleep, then they MUST be changed by your doctor. No narcotics will be allowed in the house and certain non-narcotics that will be examined on a case-by-case basis. Drugs such as Seroquel, Tramadol, Percocet, Ambien and other sleep aids, and other “anxiety” drugs (Zanax and the like) will most likely not be allowed. Initial ______

Residents are expected to behave in a mature adult manner, and at all times live in a manner consistent with residency in a 12 step/spiritual program of recovery. Aggressive behavior will not be tolerated for any reason. Initial______
Residents may not enter into inappropriate coupling relationships while in the Program. Residents may not date in the program. Initial______

Residents will be dismissed from the program immediately for any of the following: (a) Possession of illegal drugs or alcohol ON or OFF property, or failing a drug or alcohol test. (b)Threatening or violent behavior, or being “high” or drugged-out in any way observable. (c) Theft, lying, and open disrespect to others. Initial ______

I have read, understand and accept the terms set forth above and further agree to abide by any and all rules and directions given by the Fieldstone House Staff Members.

Applicant’s Signature _________________________________________Date:
Print Full Name: _________________________________________

If you have any questions or comments, feel free to contact the Fieldstone House at 610-466-7164

SCAN AND EMAIL OR FAX THIS COMPLETED APPLICATION TO: Fieldstone House Fax #: 610-466-7164 Someone on staff will be in contact with you or your treatment manager within 24 hours.