Prevention Services Request Form
Hafa Adai yan Tirow,
Please use this form to request services from the Substance Abuse Prevention Services Unit. Please fill in the information below that is applicable to your request. All requests must be submitted no less than two (2) weeks in advance, but preferably four (4) weeks prior to the service request date(s) due to planning and staff availability.
NOTE: ALL PREVENTION SERVICES REQUEST ARE SUBJECT TO APPROVAL.
If you should have a hard copy of our Prevention Services Request Form, you may deliver the form to the Community Guidance Center Main Office located at the TSL Plaza, 2nd Flr. during business hours (Mon - Fri , 7:30 AM - 4:30 PM) or via email
Should there be any cancellation or rescheduling needed after the request has been submitted, we require that immediate notification be made via phone at 323-6560/61 or via email
CGC - Substance Abuse Prevention Services Unit
Name of Organization/Agency
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