New Patient Paperwork
Welcome to Maryland Psychiatric Care. To help streamline your first visit, please complete the form below. All required documents and policy acknowledgments are included within the intake process.
Important Instructions
- Use "Save and Continue" if you need to pause and return later
- All information is securely submitted and encrypted
- Policy documents will open in a new tab for your review before signing
Need assistance? Call (240) 585-5142 or email info@marylandpsychcare.com
Adult Patient
Ages 18 and older
The adult intake form will guide you through your information, then present the required policy documents for your review. A single signature at the end acknowledges all policies.
Minor Patient
Under 18 years
The minor intake form will guide you through your information, then present the required policy documents for your review. A single signature at the end acknowledges all policies.
Need to Release or Transfer Records?
If you need to authorize the transfer of your health information to or from another provider, complete the form below: