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DRIVER INTERVENTION PROGRAM (DIP) REGISTRATION

Talbert House Driver Intervention (DIP) provides prevention and assessment within a jail-alternative setting for first-time DUI offenders. The program is designed to reduce the likelihood of repeated DUI behavior and is conducted several times throughout the year, Thursday evening through Sunday afternoon. Services include alcohol and drug education, traffic safety, and referral.

Please use the form below to begin the registration process, and we will contact you. If you have questions, please call Talbert House DIP at (513) 482-4600.

Read DIP's 2012 Calendar (as a PDF) to choose your preferred attendance date. (You have to have Acrobat Reader to open PDFs. Get it here for free).

* Indicates required field

* Name:
* Street Address:
* City:
* State
* Zip Code:
*Phone:
* E-mail:

*How do you prefer to be contacted? (select one)

*Referring Court:
NOTE: Clients referred from the Hamilton County Municipal Court are required to attend the first scheduled program.

Requested Date:
(please refer to the DIP Calendar)

 

Location preference: (select one)
Smoking preference: (select one)
Lodging: (select one)

Comments:

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