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Maryland Psychiatric Care
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CALL: 240.585.5142

Call: 240.585.5142

Maryland Psychiatric Care
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Patient Paperwork

New patients can save time by reviewing and completing the paperwork below before their first visit.

New Patient Forms

  • Intake/Referral
  • Adult Intake Release Consent to Treat – Patient Rights
  • Adult with Legal Guardian Consent to Treat – Patient Rights
  • Child Intake Release Consent to Treat – Patient Rights
  • Consent for Electronic Communications
  • Consent to Telehealth Services
  • Authorization to Disclose Health Information – Release of Information
  • MPC Program Handbook
  • Participant Orientation

Additional Forms

  • Advance Directive for Mental Health Treatment
  • New Patient Medical Checklist

Hope. Help. Health. Healing.

If you would like to work here please call:
240-585-5142 or email us at admin@marylandpsychcare.com

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  • Home
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  • CALL: 240.585.5142
  • Email: website-admin@marylandpsychcare.com

LGBTQIA++ Safe Zone