DWI Services – Request An Appointment

Your Name (required)

Your Phone Number (required)

Your Email

When is the best time to call you? (required)

Reason for Appointment (required)
—Please choose an option—DWI AssessmentSubstance Abuse AssessmentDWI TreatmentOut-of-State Review

Preferred Day of Appointment
—Please choose an option—MondayTuesdayWednesdayThursdayFridaySaturday

Preferred Time of Appointment
—Please choose an option—8:00 am – 9:30 am9:30 am – 11:00 am11:00 am – 12:30 pm12:30 pm – 2:00 pm2:00 pm – 3:30 pm3:30 pm – 5:00 pm

What date did you get your DWI?

What County do you live in?
—Please choose an option—EdgecombeGreeneLenoirNashPittWayneWilson

Do you need FREE Transportation to and from your Assessment/Treatment?
—Please choose an option—YesNo

Your Message

How did you hear about us? (required)
—Please choose an option—LawyerProbation OfficerDept. of Social ServicesNC Dept. HHS Provider DatabasePOWER 95.5 FMBig DAWG 98.5 FMRock City 99.3 FMFacebookFriend or FamilyGoogle SearchReferralOther