A television documentary series is seeking people to take part in a treatment program designed by Turning Point (a leading national addiction treatment centre).
To be considered you must be based within an hour of Melbourne and willing to be filmed over a period of six months.
The treatment program will form the basis of a documentary series for SBS television.
If you are interested in taking part, please fill out your details below.
* Please note there is no cost for the treatment provided

Question Title

* 1. What is your name?

Question Title

* 2. What is your phone number?

Question Title

* 3. (Optional) What is your email address?

T