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Professional Referrals Contact

The form below may be filled out by therapists, primary care providers or school counselors to refer patients for either therapy or psychiatric evaluations for diagnostic clarity or potential pharmacological treatment. Professionals and Potential clients may also text, call or email to establish services.  

Contact information:

Text or Call 410-822-2141

Email Lisa@shorementalhealth.net

Referring Professional Details

Client Details

Client is being referred for: (Choose all that apply)
Thanks for contacting Shore Mental Health!!
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