Detox/ Treatment Resource Questionnaire
Please submit information regarding your organization's detox and treatment options during the COVID-19 emergency. Your response will be listed on to help our community members stay healthy and safe during this unprecedented public health emergency.
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Email *
What is the name of your organization? *
Which region(s) does your organization serve? *
What types of care is your organization currently offering? *
Please list any culturally specific or bilingual services your organization offers.
Does your organization provide Medically Assisted Therapy options to your patients? *
Does your organization accept Oregon Health Plan? *
Please include any relevant details including your organization's contact information, URL, and resources you would like posted on the website. *
Please list the name, email address and phone number of your organization's point of contact in case we need to reach out for more information.
Thank you for completing this form and for your support of Oregon's united recovery community.
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