Call Toll Free: 866- 888- 4911
Out of the USA call 323-932-0077

Intervention 911 has offices and Interventionist all over the USA.
The corporate offices are located:
170 N. Vista Street
Los Angeles, CA 90036

All information is strictly confidential.
All fields are optional however we do need at least one way to contact you.

Name
Email Address
Phone Number
Best time to contact you
Your relation to client
Age of client
Does client have health insurance?
Substance(s) used
Last time Substance was used
How long substance has been used
Treatment History:
(In or out-patient, court ordered, 12step, state/country, when)
 
   
 
   
 
   
     
 
   
  Use this assessment only as a tool to help you determine if your loved one may be helped by an Intervention.

    
 
   
 
i911's Ken Seeley is featured on the popular TV series Intervention.



    
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