BALM Family Program / Registration

BALM Family Program / Registration

(Each family may register up to four family members/loved ones.)
The BALM Family Recovery Program is offered to you as a resource through Healing Springs Ranch, however both Healing Springs Ranch and the BALM Family Recovery Program are two separate, independent entities.

Enrollment in the BALM program is voluntary and is dedicated to supporting family members and loved ones of those in treatment. Healing Springs Ranch employees are required to adhere to strict Federal privacy guidelines for our clients and until those requirements are met, we can’t discuss client specific information/treatment.

Once enrolled, you will receive an email from BALM staff directly, which will explain how to get sign in and access your account.

Should you need the help of a Family Recovery Coach, BALM offers coaching through their Training Institute for Family Recovery Services. You may contact them by phone at 1-888-998-BALM (2256), or by email at support@familyrecoveryresources.com.
Client Name *
Family Member #1
Name *

First Name Last Name
Email *
example@example.com
Phone Number *

Area Code Phone Number
Family Member #2
Name

First Name Last Name
Email
example@example.com
Phone Number

Area Code Phone Number
Family Member #3
Name

First Name Last Name
Email
example@example.com
Phone Number

Area Code Phone Number
Family Member #4
Name

First Name Last Name
Email
example@example.com
Phone Number

Area Code Phone Number
Contact Type
Family Member 1
Family Member 2
Family Member 3
Family Member 4
Chris Email
example@example.com
Chris Roberts
Should be Empty: