WA State 4D Service Referral Form Logo
  • Washington State 4D Service Referral Form

    4D Recovery provides substance use recovery support services for individuals ages 18–35. This referral form may be completed by an agency or by an individual seeking recovery support. A brief self-assessment is included to help determine whether 4D’s services are a good fit. All information shared on this form will remain confidential and will only be used to help connect you with recovery support services.
  • 4D Service Overview

    4D offers drop-in recovery support at each of our centers. These services are open to anyone seeking recovery support and include 12-step meetings, recovery events, and skill-building groups. Additionally, we provide free peer support services for young adults ages 18–35 living in Clark County.
  • 4D Recovery Service Assessment

  • If you answered yes to any of the previous statements, please continue.

  • 4D Service Request

  • Contact Information

    Please provide the contact information of the person being referred
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