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All personal information will be considered private and protected by the federal HIPPA privacy laws and treated as strictly confidential. Expert help, advice and information is available via reply e-mail. Our help, answers, information and advice is available on a strictly no charge basis. If you would like our help with a drug or alcohol related issue or problem, please fill out the questionnaire as accurately as possible. We will reply ASAP.

Please, no medical advice or medical questions related to detox
The Dr. Frank website will not offer anyone any type of medical advice, of any kind. He is a psychologist (PhD), not a medical doctor (MD). Please, do not ask any questions about how to detox from alcohol or drugs. Detox and withdrawal are serious medical issues. For information about any kind of withdrawal or detox issues, please consult your primary care physician or other reliable medical resource. If you are suffering from withdrawal symptoms of any kind, we strongly recommend you go to the nearest emergency room or call 911 immediately.

No 3rd party requests
Please we ask you to not use this form to send information to a 3rd party. All requests are screened for authenticity to insure people's rights of privacy are protected. Only requests for information directly to your e-mail address will be honored.


Your name:

Your e-mail address: *

Your phone number:

This request is for:
Age range of the affected person:
adolescent
young adult 18 to 24
adult
older adult (50 plus)
Abused Substances :
alcohol
crystal meth
heroin
pot
cocaine
pills
crack
other
not sure
Possible co-occurring mood disorders:
depression
anger
anxiety
bi-polar
ADHD or ADD
other
Not Sure

Does the affected person readily admit they have this problem

Yes
No
Sometimes
Not Sure
Is the affected person willing to address this issue in some therapeutic setting?
Yes
No
Maybe
Not Sure
Is it OK to call or leave a message:
Yes  No 

Use this space to provide as much additional and helpful
background information to clarify the situation and circumstances:


to protect your information

All inquiries will receive a quick and timely response. We will send an automated confirmation request to the above listed e-mail address as the next step to our response process.

Please, no medical advice or medical questions related to detox
The Dr. Frank website will not offer anyone any type of medical advice, of any kind. He is a psychologist, not a medical doctor (MD). Please, do not ask any questions about how to detox from alcohol or drugs. Detox and withdrawal are serious medical issues. For information about any kind of withdrawal or detox issues, please consult your primary care physician or other reliable medical resource. If you are suffering from withdrawal symptoms of any kind, we strongly recommend you go to the nearest emergency room or call 911 immediately.

Note : We reserve the absolute right to refuse any request which we feel is inappropriate and/or outside the scope of this free service.