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Program Intake
We're so glad you've joined the Breaking Free Chemical Dependency Program. This page lists the resources and forms you'll need in the program. Start with the Intake Application below.
1) Intake Application
Print the document below and once you complete it either scan and email it to: scottmormon@gmail.com or bring it to Scott in person. If you need any help just call us at 972-890-5290.
Intake Application Program Rules
5) Support Group Map
6) Required Material
Optional Material
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