Thank you for making a referral to Project CARA!

Mission and Vision
To ensure that all pregnant and parenting people in recovery or seeking recovery from substance use have easy access to a multidisciplinary team that is compassionate, trauma informed, and non-judgmental. We aim to change generational patterns of substance use one pregnancy at a time. Our team is committed to helping our patients have the healthiest possible pregnancy and birth whether their last time using was five years ago or five days ago.

Please Note! This referral is not considered received by MAHEC until you receive a confirmation number after clicking the submit button.

Who is submitting this referral? If you are referring yourself or a family member, please select "Self/Family Member."
What agency is sending this referral? Please include a contact name and phone number.

If insured, this must match first name on insurance, otherwise first name on identification if it differs from the name the patient goes by

Please select all that apply.
Medication for Opioid Use Disorder (MOUD) refers to medications such as methadone, buprenorphine, and naltrexone.

Please note that if the patient becomes a MAHEC client, this description will be included in the referral that is saved to the patient’s chart.

Please attach any documents that may be helpful.
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