The office of Drug Control Policy of the Harford County Government is trying to determine the scope of drug use in the county. Would you please help us by answering a few questions? Your response will help us to determine future prevention and treatment needs. No action will be taken against you by giving us this information. You will not be asked for your name or any other information that would allow anyone to identify you. You may respond by the Internet, e-mail, fax, phone, or regular mail.

E-mail - odcp@harfordcountymd.gov
Fax - 410-638-3329
Phone - 410-638-3333
Address - ODCP, 220 S. Main St., Bel Air, MD 21014

• Is the following information about yourself or someone else?

Myself       Family Member       Friend
• Please describe yourself or the person about whom you are commenting:

Sex: Male       Female

Race:
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Multi-Racial      Other     

Zip code of residence of the person being described:

Thank you for your time and information.