Note: Copies of this form can be printed from http://www.alcoholfree.info/coping/outreach.htm

Local Outreach Telephone Card

Agency Phone Number
Police, Fire, Ambulance: 911
Local Precinct:  
Alcoholics Anonymous:  
Contact Person:  
AL-ANON:  
Suicide Crisis line:  
Women's Shelter/Crisis Center:  
Emergency Room:  
Detox Center:  
Hospital Security:  
Cocaine Abuse:  
Crack Hotline:  
Taxi/Limos:  
Other Numbers:  
Notes: