FORMS & APPLICATIONS

Maryland Recovery Net (MDRN) SUD Client Support Services

Mid Shore Behavioral Health, Inc. provides financial assistance to consumers in the Public Behavioral Health System actively receiving substance use disorder (SUD) treatment. The consumer must reside in Caroline, Kent, or Queen Anne’s County (Dorchester and Talbot-contact local Health Department).

 

The purpose of the Maryland Recovery Net (MDRN) funds is to enable an individual to access or retain community-based SUD services; the funds should be linked to the client’s clinical and/or recovery support plan goals. The consumer must be engaged with the State Care Coordinator from their county of residence. The MDRN SUD Client Support Funds are limited to one-time annual help. The assistance may be used for pharmacy assistance, transportation to SUD related appointments, obtaining vital documents, medical assistance, and transitional support (including rental and utility assistance).
All applications are subject to evaluation and approval. Incomplete applications will be denied and returned.

 

Please fax or email applications to:

Fax 410-770-4809consumersupport@midshorebehavioralhealth.org

 

For questions, please contact:

Brigitte Kealy, Behavioral Health Coordinator Manager, 410-770-4801 ext. 320, bkealy@midshorebehavioralhealth.org

Maryland Recovery Net Client Support Services

Maryland Recovery Net Consumer Support Services
Pharmacy Assistance Request Form

Maryland Recovery Net
Consumer Transportation Request Form

© 2020 Mid Shore Behavioral Health, Inc.

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