Primary Care Physician Referral Form (note: we have expanded our web-based referral capacities that results now in the fastest way to submit a referral. Please email Amanda Fitts for more information or to register.)
Release-of-Information Forms
Waterville
11 Caldwell Rd., Augusta
For Maine DHHS referrals only:
Consider entering your referral directly online in our secure Access entry system. For more information about this confidential site and to register, please contact Amanda Fitts at afitts@kbhmaine.org.
For Maine Dept. of Corrections referrals only:
Consider entering your referral directly online in our secure Access entry system. For more information about this confidential site and to register, please contact Amanda Fitts at afitts@kbhmaine.org.
BPAP Housing Application Form
Coming Soon
Shelter Care Plus Application Form
Coming Soon