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Drug rehab and Alcohol Recovery Resources are the most important addiction help needed when someone you love is giving up their life and family to drugs or alcohol.

Drug Rehab Referral
locate a drug rehab program that will help you or you're loved one beat addiction once and for all

Alcohol Rehab Referral
find an alcoholism treatment center today and truly begin the recovery process

Drug & Alcohol Intervention
when those you love are suffering from addiction but need help finding their way to either drug rehab or alcoholism treatment an addiction intervention specialist can help

Drugs Of Abuse
a comprehensive list of specific drugs and their effects

Addiction Treatment
various drug rehab and addiction treatment definitions

Frequently Asked Questions
quick answers to some of the most common addiction treatment questions

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Drug And Alcohol Rehab Resources Available NOW! Don't wait until it's too late
 
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  Confidential Form
The information you provide here is held in the strictist of confidence. We do not share your information with anyone except qaulified Drug Rehabilitation Counselors or drug rehabs for which you are being considered.

  Please provide the most accurate information possible
Our consultants will attempt to assist you with the location and admission into the best possible drug treatment center available. The better the information you provide, the better the consultant will be able to narrow down the choices available throughout the nation.

Finding the Right Drug Treatment Center to Help You End Your Addiction


You may be wondering whether or not drug addiction can be beat. Thousands of people have done it, and so can you or your family member. The key lies in choosing the right drug treatment center and drug rehab program. With the substance abuse treatment that’s best for your situation, you can be completely free of drugs and stop living with constant worry and frustration.

The drug treatment
program you choose shouldn’t just get you off drugs. It should also help you repair all the damage drugs have done in your personal relationships, your job or career and even your body. That way, you are truly rehabilitated and can be successful in life, and happy – without drugs.

At Drug Rehab Referral we have helped hundreds of families deal with drug addiction and thousands of individuals who came to us needing drug treatment have now changed their lives.

Our counselors have extensive experience and have often been though drug treatment themselves. They really do understand what you’re going through – and can help you turn your life around.


If you need help finding the right drug treatment center for  you,
fill out this form and send it to us today.

Or give us a call at 1-855-895-2315 to speak directly to one of our experienced counselors.

We can help.

Your First Name:

Your Last Name:

Your Email Address:

Day Phone #:

Night Phone #:

Address:

City: State:

Postal Code:

Person you wish to help ? self other 
      If other, who are you concerned about: 

Addict's First Name:

Addict's Last Name:

 Relationship:

How old is the addict ? 

Does the addict want help ? yes no 

Please list drugs abused: 
 

Primary:
   
Second:
   
Third:

Please describe the general situation with the addicted person right now.

What is the addicted person's medical history in general. (include hospitalizations, psychiatric evaluations, present time illnesses etc).

Please describe the addicted person's legal history. (include past legal charges, incarceration history and any current legal situation he / she may have).

Please list any prior treatments or rehab programs the addicted person has attended. ( include what type of program it was and basically what the program consisted of. Also include if the person completed the treatment program or not).



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