How to Make a Referral to HAVEN

If you are concerned about yourself or a colleague, call the HAVEN office at (860) 828-3175.

At the time of the first contact, it is helpful to provide as much of the following information as available:

  • The name, address, and telephone number of the healthcare professional

  • The nature of the concern

  • Any history and factors related to the concern

  • Any previous services or treatment received

  • Documentation of any complaints that may have initiated the contact

You will also be asked about:

  • Any felony charges or convictions

  • Past or pending licensure disciplinary actions

  • Allegations of patient harm

If any of the above are identified, HAVEN is required to work with the State of Connecticut Department of Public Health for a determination of eligibility to participate in this confidential program. If you are concerned that you or your colleague may not be eligible, please call HAVEN at (860) 828-3175 and ask to make an inquiry. 

When you refer an individual to HAVEN, please consider:

  • Any time constraints or parameters related to the referral

  • Your own plan of action and expectations (if the referral is being made by an employer, a physician health committee, hospital, or by another facility or entity)

  • Whether you want the referral to be represented as anonymous.  Please know HAVEN will not take a referral if the caller is not willing to give his or her name and contact number.  HAVEN is not required to share the name with the professional, however.

  • If you are satisfying a mandated reporting responsibility, request documentation from HAVEN demonstrating that you have fulfilled this responsibility.

When you are asking a professional to self-refer to HAVEN, please consider:

  • Explaining HAVEN's mission including confidentiality and peer support

  • Stressing HAVEN focuses on wellness and goal to help the professional address any concerns that may potentially affect the ability to practice safely

  • Providing information on how to contact HAVEN to schedule an intake meeting

  • Noting HAVEN does not provide the physical or mental health treatment, but will  refer for treatment, evaluation or other assessment.

  • Informing the professional that a release of information would need to be signed for you to confirm his or her involvement at HAVEN and that he or she is expected to request a release at the first meeting with HAVEN if you require communication with HAVEN.

PLEASE DO NOT MAKE ANY REFERRALS THROUGH EMAIL. ALL REFERRALS MUST BE MADE VIA TELEPHONE.