Referral Outreach Form
We are compiling a list of organizations, facilities, schools and therapists who refer clients to The Group. We will be reaching out to those who may not be aware of the rampant abuses and unqualified Staff that are running these programs. With the information provided, we will reach out to those who have Enthusiastic Sobriety Programs on their referral list from our Enthusiastic Sobriety Abuse Alliance Nonprofit. Your personal information and identity will be protected and kept anonymous.
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Which State did primarily attend / or were referred to?
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Which Program were you referred to?
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How were you referred to The Group?
What is the name of the person/facility who referred you?
If you have their contact information, ie phone number, email or website - please list it here.
If you know of any other organization or professional who regularly refers clients to Enthusiastic Sobriety Programs - please list them here.
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This form was created inside of Enthusiastic Sobriety Abuse Alliance, Inc.. Report Abuse
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