Congratulations! You have taken an important first step to Empowerment

We will be with you every step of the way to help eliminate your dependency on habit-forming medications. By tapering  off of these medications, you will regain your life and your health. Your answers to these questions will allow the doctor to better understand your unique life situation and build a personalized treatment plan that works for you. Our care team will work with you daily to ensure that you are making progress based on this collaborative and focused plan.

What is your name? *
What is your name?
What medication(s) do you wish to discontinue? *
Select all that apply
Phone *
Phone
What is the best time to be contacted at? (Pacific Standard Time)

OR IF YOU PREFER, contact us TO SCHEDULE A CONSULTATION
EMAIL help@BREAKINGBENZO.COM OR CALL 1-650-204-1660

Note: If you are in an emergency situation, in imminent risk, have thoughts of hurting/killing yourself or anyone else, please call 911 or head to your nearest emergency room. We are not an emergency psychiatric service.