My Recovery Expression of Interest

  • Complete the following questions to express your interest in participating in a scheduled My Recovery program. We will contact you to confirm receipt and your enrolment in a future program. Please note: If you are completing this form for someone else, it is expected that person has provided you with consent.
  • Please select the My Recovery program you would like to participate in.
  • select all that apply
  • select all that apply
  • select all that apply
  • If there are potential barriers to your participation that you would like us to talk to you about, please let us know (e.g. transport, kids, work or other commitments). There may be practical ways we can help.