Submit Your Upcoming Event

Please use the form below to submit your substance use, mental health and wellness-related events happening within the state of Connecticut. We will notify you via email once the event has been approved and added to our website.

In order to provide a high quality of service, the Change the Script Van is generally available for only one event per day. Please contact us if you have any questions pertaining to scheduling.

General Information: ( denotes required fields)*

Name *
Title
Organization
Phone *	Email *

Event details:

Event Title *

Date *

Start Time *

End Time *

Location *

Address *

Address 2

City *

State *

Zip *

Event Details *

Do you also wish to book the resource van? *
Yes No

Additional Comments:

Submit Your Upcoming Event

General Information: (* denotes required fields)

General Information: ( denotes required fields)*