Make a Client Referral Online
You can 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. It takes less than 10 minutes to fill out.
- MARI Release of Information (ROI) (PDF)
- MARI Financial Assistance Overview
- MARI 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.
Call in a Referral
MARI call center: (734) 615-7853
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.
If you have questions specifically about the U-M Aphasia Program, please call UCLL at (734) 764-8440.