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Best time to call? Morning (7 a.m. - 12 p.m.)Afternoon (12 p.m. - 5 p.m.)Evening (5 p.m. - 10 p.m.)Any of the above

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I confirm that Hazelden Betty Ford can call me. If I am filling out this form on behalf of someone else, I confirm that I have discussed with this person that I’ve asked Hazelden Betty Ford to contact them and they’ve agreed to receive a call. Yes

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