Self-Referral

How can we help you? *

Outpatient services

Residential treatment for men

Residential treatment for women

Recovery housing

Case management

Peer recovery coaching

Driver assessments

Court assessments

Agreement *

I confirm that I am 18 or older. I authorize staff of Mid-Michigan Recovery Services to contact me to provide answers to my questions and explore treatment options with an intake specialist.

Your city *

How frequently do you use? *

When was your last use? *

Your first name: *

Subject line *

Please list your drug(s) of choice *

Add any other questions or comments

Your email: *

Check here to receive email updates

What method do you use? *

How much did you use? *