We Want to Hear From YOU!

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Did you use the Ulster County MOUD website to link either yourself or someone else to Medications for Opioid Use Disorder? We'd love to know!

In what capacity did you use this MOUD list? As a . . . *

Community member linking myself or another person

Professional linking a patient or client

How did you use the MOUD list?

To find a Buprenorphine/Suboxone Provider

To find a Methadone provider

To find a Vivitrol Provider

To locate a Narcan training

Other:

Clear selection

Were you or the individual successful in linking to MOUD treatment?

Yes

Clear selection

If not, why were you or the individual not successful in linking to MOUD treatment? (ie. provider did not take your insurance, call center wait time was too long, etc.)

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms