Extra Support for WSTC Clients in Need

Extra Support Group

This form is only for those who need extra support from WSTC. If you fit any of these Extra Support categories, please reach out to Nakita.S@wstcs.org for a password to enter on this form and submit for help.
Enter the Password You Received From Your Extra Support Counselor
Type of Request
Urgency of Request
Name
Time
:
MM slash DD slash YYYY
Extra Support Categories
If you need extra support please select all that apply.
If you do not have insurance, and need SUD Treatment, please provide details here.
If you do not have insurance, and need a drug and alcohol assessment please provide details here.
If you need help setting work or school related goals, and think vocational counseling will help please provide details here.
Please provide specific details of your work &/or school supply needs.
If you feel you could benefit from peer support or recovery coaching please provide details here.
Please provide specific details of your transportation assistance needs, including but not limited to: $10 gasoline card, bus or ferry assistance. If you are seeking WSTC provided transport, please include details for WSTC provided transport below.
Press "CTRL" to select more than one location.
For example: Must be a specific CVS Pharmacy or a specific Safeway, if so please list otherwise write NA
If you are a women who has dependent children and or are pregnant or postpartum, please provide details here.
Follow Up Contact
Please indicate what your preference is for a follow up message regarding this request.