If you have a question, would like more information, or have another concern, please complete the form below. Please note that the form submissions are not monitored 24/7.
IMPORTANT: If you need immediate assistance click on Live Chat
, call (855) 581-8111(855) 581-8111
, or text (855) 895-8398(855) 895-8398
You have taken an important step by filling out this confidential form and by checking the box below you agree to have a problem substance use disorder professional contact you.