Go to the A&E "Intervention" website. It can be found at http://www.aetv.com/intervention.
Scroll down the page to find and click the box which is labeled, "Participate."
Fill out the form provided, fully and completely, following all directions given. The producers of the program need to know as much about the situation as they possibly can, so they can determine the best way to approach the situation for optimal success. This form also serves as a contract, so read it through very carefully.
Submit the form to the producers by clicking the "Submit" button. The producers will review your loved one's case and if your story suits their qualifications, they may contact you for further interviews and information.