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Support Request Form

Support Request Form

(2–3 Minute Completion Time) You’re taking an important first step—and you don’t have to do it alone.This short, confidential form helps us connect you with the right kind of support. Your information will remain private and will never be shared without your consent.
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    (You can share as much or as little as you’d like. This helps us connect you with the right support person.) Example: I’m trying to cut back on drinking, I’m worried about someone close to me, or I just want to learn more about recovery.
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    Would you like to join the Asians in Recovery newsletter for updates and community news?
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    AIR General Support Request: Terms and Data Acknowledgment By submitting this form, you acknowledge and agree to the following terms regarding the handling of your support request by Asians in Recovery (AIR). 1. Data Collection and Usage The information you provide (name, contact details, and the contents of your message) is collected solely to process your support request and connect you with the appropriate resources or AIR staff. Purpose: Your data will be used internally to understand the nature of your request (e.g., peer support, resource referral, general inquiry) and to formulate a helpful response. Confidentiality: Your personal, identifying information will not be shared, sold, or publicly disclosed to any third parties outside of authorized AIR staff and volunteers necessary to fulfill your request. Anonymized Data: Aggregate, anonymous data about the types of requests we receive may be used for internal reporting and improving our services, but this data will never be traceable back to you. 2. Nature of Support Provided Not a Crisis Service: This form is for non-emergency support and information requests only. If you are experiencing a mental health crisis or emergency, do not use this form. Please contact or text 988 immediately. Response Time: While AIR staff strive to respond to all inquiries promptly, we cannot guarantee an immediate response. Response times will vary based on staff availability and the complexity of the request. Final Consent and Communications By checking the box below, you: Acknowledge that you have read and agree to the terms outlined above. Consent to receive necessary communications from Asians in Recovery (AIR) regarding the processing and fulfillment of your support request. Affirm that you have read and agree to be bound by AIR’s Terms of Use and Privacy Policy.
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