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Drug & Alcohol Recovery Callback Form
Drug and Alcohol Recovery Call Back Form
If you have any questions about our services, please fill out this form and we will get back to you in 2-3 business days. For emergencies please call 911
First Name
Last Name
I'm requesting a call back on behalf of a friend or family
Yes
*Please remember that even though you may be making the first step, our counselor will need to speak with the individual directly to move forward with treatment.
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Do you have any language preferences?
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We use interpreter services for clients whose preferred languages are not English, Korean, or Spanish.
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Group Volunteer Opportunities
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