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TOGETHER Warmline Application

This application is meant to help you become a meaningful part of a comprehensive addiction resource list used by the Together Warmline (TW). This in-depth and unbiased list is used to connect people who are seeking help with the most appropriate resources that can be of help to them. We want to get to know you and thoroughly understand the addiction services you provide your clients. When you reach the end of this application, if you have any questions, you can send them to the email address you will find there.

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  Private Practice
  EAP
  Halfway House/Sober Living
  Ambulatory Detox
  Detox
  Intervention
  Inpatient Rehab
  Intensive Outpatient IOP
  Outpatient
  Partial Hospitalization
  Extended Care
  Halfway House/Sober Living
  Companion/Escort

 

  Adolescent
  Adult (18 & Over)
  Adult Child (ACOA)
  Anger Management
  Anxiety
  Atten/Deficit ADHD
  Axis II Diagnosis
  CD/Alcoholism
  Children
  Codependency
  Compulsive Gambling/Spending
  Digital Addiction
  Dissociative Id. (DID)
  Divorce
  Domestic Violence
  Dual Diagnosis
  Eating Disorder
  Equine
  Gambling
  Gay/Lesbian/Bisexual/TranG Psychodrama
  Grief/Loss
  Hoarding
  Internet Addiction
  Medication Management
  Men’s Issues
  OCD
  Pain Management
  Sexual Addiction
  Sexual Offenders
  Smoking Cessation
  Suboxone Management
  Trauma
  Woman’s Issues

 

  12-Step Approach
  Acupuncture
  Art/Music/Dance Therapy
  Biofeedback
  Cognitive-Behavior CBT
  Couples Counseling
  Dialectical Behav DBT
  EMDR
  Experiential Therapy
  Family Therapy
  Group Therapy (Specify)
  Guided Imagery
  Hypnotherapy
  Imago
  Motivational Counseling
  Individual Therapy
  Massage
  Meditation/Relax
  Neurotherapy
  Reiki
  Somatic Experience
  Vocational Counseling

 


  Psychiatrist
  Other Physician
  Doctorate, Non-Psychologist
  Master’s
  Bachelor’s
  Certification
  Nursing
  RD Registered Diet/Nutritionist Mood Disorders
  Clergy
  Legal
  Non-Clinical
  CAC

 

Other
 

  Private Pay (specify % of Practice below)
  Insurance (specify % of Practice below)
  Medicaid
  Medicare

 


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We are pleased you have decided to become a part of the Together Warmline resource list. We hope to connect people who are looking for help with providers like yourself. In appreciation for your efforts in filling out this form we would like to give you a one time Clasified Ad in our Together Newspaper at no charge. If you have any questions about the Warmline or this application or how to place your Ad please email us at the following address.

rsmith@thewarmline.org