Do you want free peer recovery coaching on the Sober Grid ™ app? Do you match the following criteria:

• Person of color, Person in an Underrepresented group
• Live in the state of Ohio
• Diagnosed with opioid use disorder (primary or secondary) and/or documented history of opiate related overdose

To sign up

• You can call us at 216-430-0819 from 9 am-Midnight, Monday through Friday.
• Or, fill out the form below.

Please allow 24 hours for processing and to receive your access code.

First Name

Last Name

Phone Number

County

Email

Race

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian or Pacific Islander

White

Ethnicity

Hispanic or Latino

Non-hispanic or Non-latino

Do you have a current MAT provider?
Yes
No

If Yes, what is the name of the provider?

When are you available to receive a call to receive your free coaching voucher?
9:00 AM - 12:00 PM
12:00 PM - 2:00 PM
2:00 PM - 5:00 PM