OPTIONS Community Referral Form

The form is intended to provide a pathway for members of the public to provide minimal information to our Kennebec and  Somerset County OPTIONS Liaisons for follow-up or outreach to a person struggling with Substance Use Disorder (SUD). The liaison assigned the referral will contact the person making the referral for supplemental information as needed before contacting the person they would like to connect to support.

Please complete this form with as much information as you have available when making a referral to the OPTIONS Program.