Sign-InPlease sign-in as member, guest, or first time visitor.Site*Turning Point RSCRequest ContactPlease provide the following information and we will get back to you shortly.HiddenSection BreakAre you:* Signing-In Peer Volunteer First Time Visit Have you registered as a Member of our Center?* Yes No Would you like to check in as a guest?* Yes No Selecting NO will enable you to become a member of our center!Your Participant Short Code:* Your participant short code is your first initial, last initial, birth month, day and year in the following format: FL10211901 Where First Last's birth date is 10/21/1901.Name* PhoneEmail HiddenI am anonymously attending* Recovery Group Recovery Special Event Center Resource Non-Participants can not check in for one-on-one sessions.HiddenI am attending-* Recovery Group Recovery Special Event Center Resource Please fill our New Member form below if you are not a member! OR change to check-in anonymously.I am here for:* Recovery Support Group Recovery Education Recovery Activity or Event Community Meeting/Committee Other Turning Point Resource Recovery Support Group* Family Support Navigating Through… Young People AA Fire Pit Meeting The Outsiders Fire Pit meeting SMART Meeting NA Safe Haven ACA Red Book ACA Work Book Coffee Hour Weekly Motivational Meeting Music Matters Dharma Recovery Recovery Education* Member Orientation Facilitator Training Coffee with a Coach First Aid, CPR and Narcan Training Recovery Activity or Event* Reiki Healing Orange Theory Work Out Book Club Outreach Luncheon Sound Journey and Reiki September Carnival Family Dinner Yum and Fun Easel Does it Mikes 5K MOAR Day September Scavenger Hunt Team Community Meeting/Committee* Community Meeting Outreach Team Events Committee Advisory Board Skill Lab Development Turning Point Center Resources* Drop by/safe quiet space Meet with recovery coach/recoveree Work with a sponsee/sponsor Meet with staff Please briefly describe what you would like to discuss*What Volunteer activity are you performing?* Group Facilitation Peer Support Special Event Front Desk Hospitality Peer Phone Calls Check In Newsletter Flier and Media Development Outreach Activity Other Volunteer activity, if Other:* How many hours are you volunteering today?*Please enter a number from 0 to 24.HiddenRequest ContactPlease provide the following information and we will get back to you shortly.I am:* A current Member Interested in becoming a Member Please Enter Your Participant Short Code:* Your participant short code is your first initial, last initial, birth month, day and year in the following format: FL01311990 Where First Last's birth date is 01/31/1990.Name* First Last HiddenPlease contact me via:* Phone Email Phone or Email Phone # for Contact*Email for Contact* Please briefly describe what you would like to us to contact you about*New Participant FormPlease create your new participant record.Name* First Last Email* If you don't have an email address, please input "no@email.com".Phone*Please enter (000)-000-0000 if you do not have a phone numberAddress* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How did you hear about us?* A Friend A Member of Turning Point Recovery Support Center Facebook Recovery Coach/Navigator The Safe Coalition Riverside Community Care The Hometown Weekly Saw a flier about an event/activity Referred to by a service provider Walked by and decided to pop in An Outreach Event Turning Point Website As it pertains to recovery, how would you describe yourself? I am a person in recovery I want to be in recovery I use substances socially I am a friend, family member and/or ally of recovery Recovery Coach/Navigator Other/None of the above Demographic InformationDate of Birth* MM slash DD slash YYYY Are you Spanish/Hispanic/Latino* Yes No Other What is your ethnicity?* Central American Cuban Dominican Mexican, Mexican American, Chicano Puerto Rican Salvadorian South American Unknown Other What is your ethnicity-?* African American Asian Indian Brazilian Cambodian Cape Verdean Caribbean Islander Chinese Eastern European European Filipino Haitian Japanese Korean Laotian Latin American Indian Middle Eastern Portuguese Russian Thai Vietnamese Unknown Other Other Ethnicity* Race* White Hispanic, Latino, or Spanish Origin Black or African American Middle Eastern or North African American Indian or Alaska Native – Asian –Native Hawaiian or Other Pacific Islander More than one race Other Other Race* Gender (select all that apply)* Male Female Transgender Prefer to Self-Describe HiddenGender* Male Female Nonbinary Prefer to Self-Describe Gender* HiddenDo you identify as Transgender* No Yes Prefer not to answer In what language do you prefer to read or discuss health related materials?* English Spanish Are you a veteran? Yes No HiddenHighest Level of Education Less than HS HS grad/GED Some college Technical School/2-yr degree 4-yr degree (BS/BA) Graduate degree (Masters or doctorate) Don't Know Refused Not Applicable What is your employment status? Working full or part time Unemployed and looking for work Not employed and not looking for work On disability Student Retired Don't Know Prefer not to answer Other HiddenDo you have health insurance? Yes No HiddenCOVID-19 Vaccine Status Fully Vaccinated Partially Vaccinated Unvaccinated HiddenCOVID-19 Vaccine Willingness Currently Vaccinated Wait and See Only When Required Definitely Not Contact PreferencesHiddenI am interested in:* Recovery Coaching Telephonic Recovery Supports Both Telephonic and In-person Recovery Services Volunteering Do you want to be place on our email subscription list? Yes No Are you interested in becoming a Peer Volunteer? Yes No . . The purpose of the disclosure authorized in this consent is to receive recovery support. I understand that my alcohol and/or drug treatment records are protected under the Federal regulations governing Confidentiality of Alcohol and Drug Abuse Patient Records, 42 C.F.R. Part 2, and the Health Insurance Portability and Accountability Act of 1996 (HIPAA), 45 C.F.R. Pts. 160 &164 and cannot be disclosed without my written consent unless otherwise provided for in the regulations. I also understand that I may revoke this consent at any time. I understand and agree to the following: 1. I grant permission for a volunteer to call me at the above phone number, email, and/or address to support me in my recovery. 2. Each time the volunteer calls, he/she will be asking me how my recovery is progressing and if I am in need of additional support (i.e., meetings in area, recovery community centers, safe/sober housing, social events, other resources). 3. At the time of the call, if I am in need of a referral to a treatment program or detox unit, I will be assisted in finding a program, if I so desire. 4. If at any time I decide not to take part in this program, I will contact the center or tell the volunteer when he/she calls.Consent I agree to the aboveBest Days to Call: Select All Mondays Tuesdays Wednesdays Thursdays Fridays Saturdays Sundays Best Time to Call Morning Afternoon Evening Anytime