Donate

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Your Donation Keeps Our Work Alive

We are passionate about supporting recovery towards health and wellness in our communities – and we need your help to make that work happen.

Donate Today!
Please help us to sustain and expand our services with a secure online donation through PayPal!

OR mail your gift to:

Mid-Coast Recovery Coalition
PO Box 1002
Camden, ME 04843

All gifts to the Mid-Coast Recovery Coalition are tax deductible.

 

Wish List

If you would like to make a donation of physical goods, below is a list of needed items:

*Paper Products – TP, Paper Towels, Napkins, Tissues

*Cleaning Supplies

*Dish Soap

*Hand Sanitizer

*Long underwear for men, women and children

*Winter Hats and Gloves

Please contact (207) 701-1182 or email info@midcoastrecovery.org for more information

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Full Name(Required)
MM slash DD slash YYYY
dd/mm/yyyy
Address

Name, Phone Number, & Relation
MM slash DD slash YYYY
Past Treatment Programs
City/State
Counselor Name
Entry/Exit Date
 
Have you ever lived in a sober house?(Required)
Substance Use(Required)
Drug
Length of Abuse
Time Since Last Use
 
Current Medications and Dosage(Required)
(Required)
Signature
Date
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