Are you a new client? Below is all the information you need to review and complete prior to your first appointment. If you have questions, please contact us.
Forms & Applications
If you are a new client with private insurance, please print and complete the “Client Information – Private Insurance” packet. If you are a new client with Medicaid insurance, please print and complete “Client Information – Medicaid Insurance” packet. If you are a new sliding scale client, please print and complete the “Client Information – Sliding Scale” packet.
- Private Insurance Client Packet
- Medicaid Insurance Client Packet
- Bariatric Evaluation Form (WALI)
- Sliding Scale Client Packet
- Sliding Scale Application
Related Links for more help.
The Life Crisis Center (LCC) is a local nonprofit 501(c)(3) organization serving the Lower Eastern Shore of Maryland. 24 hours a day.
The Cricket Center’s main objective is to reduce trauma to child victims by bringing all necessary local agencies together.
Senior Advice offers care options and programs for aging adults providing assisted living options and financial support.
Operation Courage this free service for first responders and essential workers from the Maryland Department of Health and Behavioral Health Administration provides quality mental health care and improves access to care for frontline workers.