Schedule a Screening

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Request a Telephone Assessment using our secure online form

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? *
If you are a female or this assessment is for a female, please contact Westminster House

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.