Do you have substance abuse problems ? Or do you know someone who have them ?
Yes, I have Yes, I have a friend / someone in the family


What kind of substance abuse ?
Alcohol Drugs

For how long ?


Would you like to be contacted by one of our counsellors ?
Yes No


What kind of contact would you prefer ?
Telephone Domicile In our facilities at the clinic


Please, leave your telephone and best hour for contacts, or to have an appointment:
Name: E-mail:

Telephone: Schedule:

I prefer to contact you myself
If you prefer that option use the information's telephone:
(00351) 21 419 55 51

For other questions or further information you can also use our e-mail