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Making a Referral?

Refer to HAVE Support

Coordinators of Community Services and other professionals can quickly connect individuals and families with HAVE Support to explore available services.

Which describes you?

I'm a CCS or professional making a referral

You're in the right place — complete the short form below.

I'm looking for services for myself or my family

Use the Request Services form

Why Professionals Refer to HAVE Support

A partner in the DDA service-selection process

  • Person-centered approach
  • Multiple Maryland DDA service options
  • Provider-Led and Self-Directed understanding
  • Statewide Maryland service presence
  • Clear, responsive communication
  • Educational DDA resources for families

Takes less than 2 minutes · No sensitive documents requested

Professional Referral Form

About You

The professional submitting this referral.

Professional Role
Preferred Contact (optional)

Person Being Referred

Only the minimum information we need to respond. No SSN, Medicaid number, DDA ID, or diagnosis is requested.

Age Group (optional)

Services & DDA Context

Which services are you referring the person to HAVE Support for?

Only services HAVE Support currently provides are listed. Select all that apply.

Where is the person in the DDA process?
Service model, if known (optional)
When are services being explored? (optional)
Is the person currently looking for a provider? (optional)

Note & Authorization

0/800

Please do not include medical records, Social Security numbers, Medicaid numbers, detailed health information, or other sensitive information in this form.

Please provide only the information requested. Additional records or sensitive information can be exchanged later through an appropriate secure process if needed. See our Privacy Policy.

Our team typically responds within one business day.