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Help Request Form

Help doesn’t always come in a one-size-fits-all package. That’s why we’ve created this form—to give you the opportunity to request the specific support you need. Your success is our priority.

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Select the help you are requiring
Where you referred to us?

The Darrin Sankey

Memorial Foundation

P.O Box 324 

West Pittsburg, PA 16160

Contact Us

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If you need emergency help with your addiction please contact SAMHSA at 1-800-662-4357

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