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Step 1

• How old are you?(Required)

  • All Items
  • 17 and under
  • 18 – 24
  • 25 – 64
  • 65 and over

• Select your gender(Required)

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  • Male
  • Female
  • Transgender - Male
  • Transgender - Female
  • Non-Binary

• Region(Optional) What is this?

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  • AB - Calgary Zone
  • AB - Central Zone
  • AB - Edmonton Zone
  • AB - North Zone
  • AB - South Zone

• I am looking for a service that is financed in the following ways(Optional)

  • Publicly Funded
  • Privately Funded
  • Non-insured Health Benefits Program (NIHB): First Nations and Inuit Health Branch

• I am having difficulty with the following substances/behaviours:(Required)

  • Alcohol
  • Benzodiazepine
  • Cocaine
  • Crack
  • Crystal Methamphetamine
  • Eating Disorder
  • Fentanyl
  • Gambling
  • Gamma Hydroxybutyrate (GHB)
  • Heroin
  • Internet/Gaming
  • Marijuana
  • MDMA
  • Misc. Prescriptions
  • Prescription Opioid
  • Sex
  • Shopping

• I currently have the following legal issues(Optional)

  • All Items
  • Bail - I am on bail
  • Probation - I am on probation
  • Conditional sentence - I am on conditional sentence
  • Upcoming court dates

• I am looking for a service with the following smoking policy:(Optional)

  • All Items
  • Smoking is permitted only in designated areas
  • No smoking is permitted
  • Smoking Cessation Program/Provision of NRTs

• Service Type(Required)

  • All Items ?
  • AA/NA/CA/CMA/GA/ Communities ?
  • Addiction Medicine Physician/Doctor ?
  • Aftercare/Continuing Care ?
  • Community Naloxone Program ?
  • Detox (Withdrawal Management Centres) ?
  • Drug Testing ?
  • Family Program ?
  • Harm Reduction Services ?
  • Housing – Pre-Treatment ?
  • Housing – Supportive Recovery ?
  • Intervention Service ?
  • Medical Monitoring (occupational) ?
  • Opioid Dependency Programs ?
  • Outpatient Counselling ?
  • Parent Support ?
  • Recovery Coaches ?
  • Treatment – Inpatient (Residential) ?
  • Treatment – Outpatient ?
  • Treatment – Therapeutic Community ?
  • Treatment – Wilderness/Experiential ?

• Suboxone/Buprenorphine(Optional)

  • Service will put clients ON a Suboxone Program
  • Service supports clients to STAY ON a Suboxone Program
  • Service supports clients to TAPER Off a Suboxone Program
  • Service DOES NOT admit clients on a Suboxone Program

• Methadone(Optional)

  • Service will put clients ON a Methadone Program
  • Service supports clients to STAY ON a Methadone Program
  • Service supports clients to TAPER Off a Methadone Program
  • Service DOES NOT admit clients on a Methadone Program