Refer a Client to Maitri
Connect individuals with compassionate, evidence-based mental health and substance use care. Our intake team will follow up to schedule an assessment and determine the right level of care.
Submit a Referral →
Simple. Coordinated. Responsive.
You submit the form
Takes 3–5 minutes. Provide what you know — partial information is okay.
Our team is notified
Intake staff receive an immediate notification and review the referral.
We reach out
We contact the individual to schedule a mental health or substance use assessment.
Level of care determined
Assessment results guide the right treatment pathway — at Maitri or coordinated elsewhere.
This form is for professionals and community partners
Services Available at Maitri
We provide outpatient and intensive outpatient treatment for mental health and substance use disorders, peer recovery support, and sober living housing. For needs beyond our scope, we coordinate referrals to appropriate providers.
Mental Health Assessment
Comprehensive evaluation to determine diagnosis and appropriate level of care.
Substance Use Assessment
ASAM-based assessment to determine treatment needs and level of care recommendations.
Outpatient & IOP
Individual and group therapy for mental health and substance use disorders.
Peer Recovery Support
Certified peer recovery specialists providing community-based recovery coaching.
Sober Living — WARM
Safe, structured housing for men and women in recovery. 20-bed capacity.
Inpatient / Detox
We will assess the individual and coordinate referral to the appropriate facility.
MAT / MAR
Medication-assisted treatment referrals coordinated following our assessment.
* Services marked above are not provided directly by Maitri. We will conduct an intake assessment and facilitate the appropriate referral on the client's behalf.
Submit a Referral
Referral Form
Complete the form below. Provide as much information as you have — partial information is acceptable. Our intake team will follow up with you and the referred individual directly.
⚠ If the individual is in immediate danger, experiencing a psychiatric emergency, or actively overdosing — call 911. For mental health crisis support, call or text 988 (Suicide & Crisis Lifeline). This form is not monitored in real time and is not a substitute for emergency services.
Questions about a referral?
Our intake team is available to answer questions and provide guidance on the referral process.
(815) 780-0690