Contact Us


In the event of an Emergency please call 911 immediately. 


For further program information or general questions please call: 

Opioid Treatment Center: 920.386.4329

Please note: Upon submitting on line contact information OTC staff will notify the person in need of services within 48 business hours. By clicking submit your authorizing for OTC staff to make contact with you. 

Click below for a PDF copy. You will need to email or scan it in or print off additional copies.

Send to:

otcreferrals@co.dodge.wi.us

PDF REFERRAL FORM:

Name *
Name
Date *
Date
Phone *
Phone