• Peer Connection Request Form

    Please complete to form below to be connected with a certified peer mentor (someone with lived experience of addiction and recovery). Peers can help connect you to treatment, find the meeting that's right for you, and provide other recovery support. A peer will reach out within 48-72 hours of you completing this form. If you need immediate assistance, please call 9-1-1 or dial 800-923-4357 to reach Lines for Life's 24/7 Alcohol and Drug Helpline.
  • Completar este formulario en Español

  • Thank you for completing the form.  A certified peer mentor will reach out within 48-72 hours.  If you need immediate assistance, please call 9-1-1 or dial 800-923-4357 to reach Lines for Life's 24/7 Alcohol and Drug Helpline.

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