All information entered into the form will be emailed directly to Michele Brock.

SCI-Step, Inc.

4457 Bethany Road, Suite J

Mason, Ohio 45040

(513) 459-2282

We appreciate any feedback you would like to give us regarding our website or The SCI-Step Recovery Program. This helps us meet the needs of individuals who participate in our program.  If you would like more information about the SCI-Step program, please complete and submit the form below.

First Name           

Last Name            

Mailing Address   

City                      

State                       

Country               

Postal Code         

Phone Number   

Email Address    

How did you hear about SCI-Step?

Please tell us a little more about yourself and why you are interested in SCI-Step:

Please:

Send an application to the address above

Email an application to the email address above

Add the address above to the SCI-Step mailing list

Other

Additional comments:

Thank you for taking the time to provide this information.  We appreciate your support and will respond to any request in a timely manner.

Michele Brock, Executive Director

mbrock@sci-step.com