Admissions Application

The Brattleboro Retreat makes every possible effort to keep the information you share with us strictly confidential. This web-based form is provided as a convenience to help expedite your interaction with us. However, in this instance, due to the technical limitations of email-based communications, we cannot guarantee that the information you provide on this form is 100 percent secure.

You are in no way required to use this form and may contact an admissions counselor directly over the telephone at 802-258-3700. If you choose to continue with this online admissions form please be advised that an admissions counselor will contact you within one business day to help you complete your application process and assess your needs.

  • IMPORTANT: If you are interested in employment at the Brattleboro Retreat do not fill out this form.
    Instead, please follow this link to our online careers page. If you are having technical difficulties or have questions about our online employment application please email us at Thank you.


Please fill out and submit the form below:
Client Information
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month day year
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General Comments
An admissions counsellor will contact you within one business day to complete your application process and help assess your needs.