Referral Form
We have one online referral form for each of our two programs. Choose the program you are referring to and the form opens on its own page.
OMHC Referral Form
Outpatient Mental Health Clinic: therapy and medication management for children, adolescents and adults.
Who completes itYou, a family member, or an agency referring a client.
Start OMHC referralPRP Referral Form
Psychiatric Rehabilitation Program: skills for living more independently in the community.
Who completes itThe client's licensed mental health professional.
Start PRP referralNot sure which form to use, or prefer to talk? Call (301) 250-9965, Monday–Friday, 9:00am–5:00pm.
