General Information and Instructions

 

Entrance into the Forsyth County Veterans Treatment Court (VTC) requires the submission of a referral form. Forms may be completed and submitted using this online form OR you may make your request in writing and send it to:

BY FAX
ATTN: VTC Coordinator
336-779-6301

BY MAIL
VTC Coordinator
PO Box 20099
Winston-Salem, NC 27120

Click Here for a printable Referral Form.

 

In order for an individual to be considered for the Forsyth County VTC, he or she MUST:

  • Reside in Forsyth County
  • Must be charged with a criminal offense or currently be on probation in Forsyth County
  • Submit a referral form to the VTC coordinator
    NOTE: Some defendants will be permitted to enter the program pre-plea. If a veteran is accepted into the program pre-plea then, upon successful completion of the program, the veteran’s charges may be dropped. All other defendants can only enter the program after entering a guilty plea.
  • Have served in the United States Armed Forces, including the National Guard or Reserves
  • Have a substance use, mental health, PTSD, or other co-occurring diagnosis (A substance user disorder and/or a mental health disorder will be determined by an assessment prior to entry into the VTC.)

 

Submission of a referral form does not guarantee acceptance into the VTC.

All admissions to the VTC will be decided by the VTC team on a case-by-case basis, taking into consideration all pertinent information, including, but not limited to, the individual circumstances of the veteran, the charge(s) and facts of the case, the availability of suitable treatment for the veteran, and the current caseload of the VTC. Not all eligible defendants will be accepted into the VTC.

Acceptance into and completion of the program does not guarantee any specific outcomes.

 

By submitting the following form you are requesting to be admitted to the Forsyth County Veterans Treatment Court.

You understand:

  • It is your responsibility to accurately enter all information. Improperly spelling your name or entering the incorrect jury service date may result in the immediate denial of your request.
  • There is no guarantee your request will be granted.
  • Our staff is unable to change any information once it has been submitted. NO EXCEPTIONS. It is your responsibility to ensure ALL INFORMATION IS CORRECT/ACCURATE before submitting your request.
  • All fields with a “*” are required.
  • Any submission with missing or incorrect information will be denied. NO EXCEPTIONS.

Form

Basic Information
Do you live in Forsyth County?
Service History
Please indicate the branch of service in which you served. If you have served in multiple branches, please indicate the most recent branch and service record in this section. List any other branches in the "Additional Service History Information" section.
Contact Information
Reenter your email address to verify that it is correct.
Unable to Proceed

 

If you have not served in the United States Armed Forces, then you are ineligible for the Veterans Treatment Court.

 

The form is currently incomplete. Please review your entries to ensure that you have answered each required question.

Submit
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