Thank you Force Four Entertainment
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Last Door is a Adolescent and Adult Male Program.
First Name * Last Name Phone * Who are you requesting an assessment for? *
Is the assessment for a MALE? * yes If you are a female or this assessment is for a female, please contact Westminster House www.westminsterhouse.ca
Are you scheduling a telephone screening for a... * Youth is 13 to 18 year old males
What is the primary addiction problem?
Our goal is to contact you by telephone within 24 hours to review your treatment needs. This telephone screening determines program suitability and the next steps for intake. If this is a medical emergency please dial 911.
With over 30 years of addiction recovery experience, Last Door is often called upon for media interviews, Please call 604-812-7462 for any media inquiries or email pr@lastdoor.org
Please ensure all required fields are completed. Fields marked with an * are required
Last Door is often asked to participate in interviews, tours, and to assist with school projects. We are excited to offer our experience to assist students. Please complete this form and someone will get back to you.
Please ensure there is 10 days between your request and your due date.
Name * Phone * School * When is your project due? * Select * ---High SchoolUniversityCollege How much time are you needing from Last Door? * Briefly explain your request *
