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community addiction teams - Equalities in Health

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APPOINTMENT REQUEST FORM<br />

LANGUAGE<br />

If you would like an appo<strong>in</strong>tment please tick the service you would like to make an appo<strong>in</strong>tment with.<br />

THEN FILL IN YOUR NAME AND TELEPHONE NUMBER AND YOU WILL BE PHONED BACK.<br />

The phone call will be a 3-way conversation between a worker from the service, you and an <strong>in</strong>terpreter.<br />

North Community Addiction Team<br />

GCA<br />

South Community Addiction Team<br />

BME Drug & Alcohol Service<br />

East Renfrewshire Community Addiction Team<br />

SMOKING CONCERNS:<br />

East Dunbartonshire Community Addiction Team<br />

Stop Smok<strong>in</strong>g Groups<br />

West Dunbartonshire Community Addiction Team<br />

One to One Support<br />

South Lanarkshire Community Addiction Team<br />

Start<strong>in</strong>g Fresh Pharmacy<br />

Glasgow Drug Crisis Centre<br />

Your name<br />

Contact phone number<br />

Please call me back with <strong>in</strong>terpreter who speaks

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