Request for Recovery Support
Healthy Acadia offers free and confidential recovery support services to help you navigate your recovery journey. A Recovery Coach will support anyone who would like to enter into or sustain recovery or support those affected by addiction.

Tell us a little bit about yourself by completing the information below and someone on our staff will get back to you soon, Monday - Friday, to set up an intro call.                                                                                                                
If you need to speak to someone now, here are some resources:

Maine Warmline: 1-866-771-9276 Offers telephone support during challenging times and non-crisis situations.

National Mental Health/Suicide Hotline: 988

Maine Crisis Hotline:    1-888-568-1112
If you are concerned about yourself or about somebody else, call the crisis hotline. This will connect you to your closest crisis center.


Email *
Select all that apply
What is your name (first, last) *
What is your age? *
What is your gender?
Birthdate (mm,dd,yyyy) *
MM
/
DD
/
YYYY
What county do you live in? (Healthy Acadia offers support and recovery coaching to Aroostook, Franklin, Hancock, Kennebec, Knox, Penobscot, Piscataquis, Somerset, Waldo and Washington Counties. If you are outside this area we will connect you with resources in your county). *
What is your phone number? (include area code) *
Is it ok to text this number? *
Is there an alternate phone number? (In case we cannot reach you at the number above - include area code) *
What is the best time to contact you? *
email address *
How did you hear about Recovery Coaching? *
A copy of your responses will be emailed to .
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