EXHIBIT 3.6



                           CERTIFICATE OF AMENDMENT OF
                          CERTIFICATE OF DESIGNATIONS,
                           PREFERENCES AND RIGHTS OF
                            SERIES D PREFERRED STOCK

                                       OF

                                CARECENTRIC, INC.

The  undersigned,  John R.  Festa,  President  and Chief  Executive  Officer  of
CareCentric,  Inc.  (formerly  known as  Simione  Central  Holdings,  Inc.) (the
"Corporation"),  a corporation organized and existing under and by virtue of the
General  Corporation  Law of the State of  Delaware  (the  "Code"),  does hereby
certify:

          1.   The  name of the  corporation  is  CareCentric,  Inc.,  (formerly
               Simione Central Holdings, Inc.)

          2.   Pursuant to the authority  conferred  upon the Board of Directors
               by the  Certificate  of  Incorporation  and Section 151(g) of the
               Code, the Board of Directors  adopted on May 9, 2000 a resolution
               setting  forth  the   designations,   preferences  and  relative,
               participating,    optional   or   other   special    rights   and
               qualifications,  limitations or restrictions of the shares of the
               Series D Preferred Stock (the  "Resolution")  and the Corporation
               caused a Certificate of  Designations,  Preferences and Rights of
               Series D Preferred  Stock  containing the Resolution to be signed
               and filed.

          3.   The Board of  Directors  adopted on April 15, 2002 the  following
               resolutions regarding the amendment of the Resolution (the "First
               Amendment"):

"RESOLVED,  that the Corporation's Certificate of Incorporation shall be amended
such that Section F. 1. of the Designations,  Preferences and Rights of Series D
Preferred Stock shall be and hereby are amended as follows:

         "Section F. 1.,  shall be and hereby are amended by deleting the phrase
"Original Purchase Price" in the first sentence of that Section and substituting
therein the phrase  "Original  Issuance  Price",  and by deleting the words "two
dollars and fifty-one  cents ($2.51)" in the second sentence of that Section and
inserting therein the words "one dollar ($1.00)".

                  "RESOLVED,  that the Board of  Directors  recommends  that the
holders of Series D Preferred Stock approve such amendment."


<PAGE>

          4.   The Certificate of Designations, Preferences and Rights of Series
               D  Preferred  Stock  of the  Corporation  is  hereby  amended  as
               described above in part 3 of this Certificate.

          5.   The amendment herein certified has been duly adopted by the Board
               of Directors of the  Corporation in accordance  with Sections 141
               and 242 of the Code.

          6.   On  July  1,  2002,  John  E.  Reed,  the  holder  of 100% of the
               outstanding shares of Series D preferred Stock executed a written
               consent   approving   the   amendment  to  the   Certificate   of
               Designations,  Preferences and Rights of Series D Preferred Stock
               as set forth in part 3 above.


         IN WITNESS  WHEREOF,  the Corporation has cause this  Certificate to be
signed by its President and Chief Executive Officer, and such authorized officer
hereby  declares,  under  penalty  of  perjury  under  the laws of the  State of
Delaware,  that he signed this  Certificate  in the official  capacity set forth
beneath his signature and that the statements set forth in this  Certificate are
true and correct to his own knowledge this 1st day of July, 2002.


                                         /s/ John R. Festa
                                         -------------------------------------
                                         John R. Festa
                                         President and Chief Executive Officer










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