Welcome, Thank you for your interest in connecting with us regarding alcohol use disorder. This form is a simple way for you to share your contact information so we can reach out to you directly.
Rest assured, there are no strings attached! Completing this form is completely voluntary and confidential. Your details will be kept private, and there’s no obligation to engage further if you choose not to.
We appreciate your willingness to connect, and we look forward to speaking with you!
