Get Connected. Get Support.

Get Connected. Get Support.

Use this form to connect with our staff and get help to find the programs that are right for you. We'll be in touch soon!
Your Name*

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Phone Number*
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Email Address*
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What’s your goal right now?*

Get a referral to a residential or intensive outpatient treatment program (IOP)Get admitted to the Recovery Resources withdrawal management center (detox)Enroll in a Recovery Resources program (UPS, DUI Classes, Pretrial Services, Drug Testing or Equine Assisted Learning)Get support for creating a long-term recovery plan and/or healthier lifestyleEnroll in MedicaidOther
What type(s) of substance use treatment have you done before, if any?*

Withdrawal Management (detox)Residential treatmentIntensive outpatient treatment (IOP)Outpatient recovery support servicesNone of the aboveOther
What type(s) of treatment and support are you interested in right now?*

Withdrawal Management (detox)Residential treatmentIntensive outpatient treatment (IOP)Outpatient recovery support servicesPeer support servicesNone of the aboveOther
Which Recovery Resources Programs or Services are you interested in?*

Case Management (assists with Medicaid enrollment, treatment planning, program enrollments and referrals to other support services)Drug TestingDUI Program and ClassesEquine Assisted LearningPretrial ServicesUPS Community Service CoordinationUnsheltered Outreach (including access to services such as emergency shelter, meals, laundry and showers)Withdrawal Management (detox)None of the above
Anything else you want us to know?
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