Address: MaleFemale Date of Comprehensive Assessment : If participant has a PMAP/Insurance, please enter All information below If participant has only MA (Medical Assistance), please provide ALL the information below. Referral must include a comprehensive assessment that indicates at least a risk rating of 1 in Dimension 4,5 or 6 and must include a recommendation for Peer services Service start date (enter the date the referral is sent - mm/dd/yyyy) Service Provided EducationAttending recovery and other support groupsAccompany the client to appointments for recovery supportAssistance in accessing resourcesRecovery support to assist a person in the transition from treatmentAdvocacyMentoring