Sign Up
Member Account Information
Email
Password
Password confirmation
Passwords must be at least 8 characters in length and may contain any alpha, numeric, or special character.
Examples of Valid Passwords:
R3cov3ry! or MyWorks75
Anonymous Forum Posting and Display Name
Anonymous posting
Full Name
Street Address
City & State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
County & Zip Code
Please be sure to select the county that you belong to
Delaware/Morrow
Franklin
Personal & Household Information
Dob
Phone number
How Did You Hear About Us
Choose One...
Jennifer Henery (County: Franklin)
Julie Williams (County: Delaware/Morrow)
Megan Moneypenny (County: Delaware/Morrow)
Kenneth Grace (County: Franklin)
MaryMargaret Brown (County: Franklin)
Tianna McConnell (County: Franklin)
Kelli Shoupe (County: Franklin)
Southeast/COVA Staff Member
Mental Health/Addiction Provider
Family/Friend
RecoveryWorks Flier
RecoveryWorks Presentation
Social Media
Website Search
Twin Valley
Other
What county would you like to view resources for
Delaware/Morrow
Franklin
Other
Race
Choose One...
African American
Alaska native
Arab American
Asian
Caucasian
Hispanic
Multi-racial
Native American
Pacific Islander
Unknown
Ethnicity
Choose One...
Cuban
Hispanic
Hispanic - Origin not specified
Mexican
Native American
Non-Hispanic Latino
Other Hispanic
Other Specific Hispanic
Puerto Rican
Not of Hispanic origin
Unknown
Gender
Choose One...
Male
Female
Challenge experiencing
Choose One...
Mental wellness
Addictive behavior
Both
I agree to the
Terms and conditions
TERMS OF AGREEMENT
Confirm
Check to Accept and Continue
