笔记:您的隐私受到保护。 我们将仅使用您的名字和姓氏首字母来识别您的身份,并且我们不会将您的联系信息提供给除认证 DC 同行或推荐专家之外的任何人,他们将与您联系。 我们不会与执法部门分享有关您或您所爱之人的信息。
I would like a Certified DC Peer to contact me.I prefer to contact a Certified DC Peer directly. Please send me contact information.
I would like a referral to a treatment center.
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* I understand I am not signing not signing up myself or my loved one for anything and there is nothing mandatory about this. I understand that I am not required to do anything or disclose any information.
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