Get help

Take the first step.

Take the first step toward recovery and rebuilding your life. Complete the form below to request our services, or call us and we’ll start the conversation together.

Request servicesCall (765) 241-3798

Need immediate assistance?

Talk to someone right away

(765) 241-3798Or fill out the request form

Monday through Friday, 9:00 AM to 5:00 PM

How it works

Three steps to getting started

1

Send your request

Fill out the form below. Agencies, family members, and individuals can all submit a request.

2

We reach out

Our team will contact you within two business days to talk through your needs.

3

Meet for intake

We’ll schedule an intake appointment and build your plan together.

Request services

Tell us how we can help

Fields marked with an asterisk are required. It takes about five minutes.

i

Your information is confidential. We use it only to coordinate your services. We share it with other agencies only with your written permission, or when required by law.

    Who is filling out this form?

    Referring someone?

    Agencies and family members: tell us who you are. Skip this if you're requesting services for yourself.

    Participant information

    How can we help?

    Services needed

    Barriers or needs

    Privacy

    Helpful to have ready

    • Participant’s full name, date of birth, and phone
    • An emergency contact name and phone
    • Referring agency and contact, if someone is referring you
    • Current employment status
    • The services and needs you’d like help with

    Who can make a referral

    • Probation and community corrections
    • Courts and the Sheriff's Office
    • Treatment and mental health providers
    • Employers, churches, and family members
    • You can refer yourself

    If this is a medical or mental health emergency, call 911 or go to your nearest emergency room. If you or someone you know is in crisis, the 988 Suicide & Crisis Lifeline is available 24/7 by calling or texting 988.

    Call or text 988