The IMPACT Referral Form is intended only for active consumers of the Massachusetts Rehabilitation Commission. It is available for you to print out and return to Project Impact.
IMPACT Referral FormPDF pdf format of impactrefer.pdf
Word doc format of impactrefer.doc

Please return the completed form to the SES program at the address below.

The MRC Statewide Employment Services Department

The Massachusetts Rehabilitation Commission
Administrative Offices
600 Washington Street
Boston, MA 02111

MRC Main Information numbers: 1-800-245-6543 (Voice/TDD) or (617) 204-3600
Fax (617) 727-1354

If you need alternative formats please contact Joe Reale at (617) 204-3854 or


This information is provided by the Massachusetts Rehabilitation Commission.

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