Dilaudid Addiction

Get Help Now

We are here to help. To receive assistance or information about the Waismann Method advance rapid detox treatment or an opiate dependency, please complete the form below. We will respond to you via email or telephone.

You may call us directly during business hours at
(888) 987-HOPE(4673) or (310) 205-0808.
For after hours and weekends, please call (310) 927-7155.

* = required fields
Name or Alias:*
Email:*
Re-type Email:*
Optional: Phone #: (If you prefer we call you. Only for USA #)
Best time to call:
May we leave a message?	Yes No
How did you find us?	Please choose one Search Engine Other Web Site TV Radio Newspaper Magazine Billboard Ad Friend
Name of Source? (web site, TV show, magazine, radio or newspaper name)
What drugs and daily amount are taken?
About whom are you contacting us?	self family member friend client
Age of Person:
Country:
Message:
Note: If you do not see our first email response within a few hours, please check your Bulk, Junk or Spam email folder. If you do not receive our response after 24 hours, please call us or submit this online form again.