Thank you for choosing Reckless Recovery. We are a dedicated team of substance abuse and mental health professionals. This form is designed to help us understand your needs and tailor our service to best support you. Please fill it out honestly. Your information is confidential, and we are here to assist you along the way. We look forward to caring for you or your loved one through the next steps of your recovery journey. Once the form is completed, a member of our team will review your answers and reach out directly to offer our support in next steps.