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Women's Refuge of Vero Beach
772-770-4424

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Application for the Refuge Residential Program

There are several ways to apply:

Press the "Download the Application" button below to download or print; then email, fax, or mail to us.

Download the Application to email, fax or mail

Steps to being accepted to the Women’s Refuge program:

  1. Please complete the application.
  2. Once your application is received, we will review the application, and usually within 48 hours, our counseling staff will contact you.

If you have special circumstances, please call us to fill out an application over the phone 772-770-4424.