Ask a Question, Request an Appointment, or Provide Feedback
Please fill out the form below to send an electronic request for an appointment, to ask a question, or to make a suggestion/provide us with feedback regarding your experience with MARI. If you are sending a client to MARI, please use the online referral form on the side of the page or call us at (734) 615-7853. We make every attempt to respond to you within 48-business hours, but the time may vary depending on call and web contact volume.
If You'd Rather Call Us
If you'd prefer to contact MARI by calling us, we are available during typical business hours, Monday through Friday. Alternately, you can leave a message with us, and we will return your call as quickly as we can. Please remember that we are not a crisis center. If you need immediate help, go to the nearest emergency room or call 911.
- Main MARI office line: (734) 615-7853
- MARI Billing Team line: (734) 647-1064
Make a Client Referral
You can now submit a secure digital form to make a professional referral. The form asks for client details, a Release of Information (to be uploaded), and your contact information.
Stay in Touch with MARI eNewsletters
Additional Forms
- MARI Release of Info (ROI) (PDF)
- Financial Assistance Overview
- Financial Assistance Application (PDF)
NOTE: Your browser may open PDFs as previews. It will allow you to fill it onscreen. However, when you attempt to print or save, the content you entered is gone. Make sure you download and save the form before entering information.
MARI Client Experience Survey
We want to hear about your experience with MARI services! Your feedback helps us understand not only our strengths as a service provider, but also where we should focus improvement efforts. The survey should take less than 10 minutes to complete and is anonymous, unless you opt to provide your contact information at the end.