Request Services Disclaimer: At this time our mental health outpatient services have a significant waitlist to access care. If you are in need of immediate assistance please contact the Maine Crisis Line at 1-888-568-1112. Name(Required) First Last Phone(Required)Do we have permission to leave a voicemail? Yes No What town are you located in?(Required) When is the best time to reach you?(Required) Early Mornings (7:30am - 9:00am) Morning (9:00am - 11:00am) Mid-Day (11:00am - 1:00pm) Afternoon (1:00pm - 3:00pm) Late Afternoon (3:00pm - 5:00pm) Select AllAre you looking to schedule services for yourself or someone else?(Required) Myself Someone Else What services are you interested in scheduling? (You may select more than one)(Required) Mental Health Therapy (not accepting new clients) Substance Use Counseling Intensive Outpatient Therapy (IOP) Medication Management Medication Assisted Recovery / MAR Children’s Case Management Parent’s Case Management PATH Homeless Case Management OPTIONS (Overdose Prevention Through Intensive Outreach Naloxone and Safety) Youth & Family Navigator Services Below we will ask you for your email address and cell phone number so we can: Text reminders about upcoming appointments. Help you find your health information online through our Client Portal which is in development. Help you make better decisions about your health Do we have permission to text you?(Required) Yes No Cell PhoneDo we have permission to email you? Yes No Email Δ
