Agency Referral Forms

Adult Referral

Adolescent Referral

 
Release of Information

Consent To Treatment

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Wellness Workshop Registration Form

Scan QR Code For LEWC Inc. Adolescent Referral Form

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PRP Referral Form 

 Text or Call and speak with an intake specialist for referrals and program services today!

(800) 867-2395 or (410)200-9016

Now Welcoming
 New Patients
Outpatient Behavioral Health
Child & Adolescent Psychiatry & Medication Management 
 Adult Psychiatry & Medication Management
Tele-Counseling & Tele-Psychiatry
 
SUD Medication Based Therapy Programs Suboxone, Vivitrol Available

Gambling Treatment

DUI Education

Prevention Program

Adolescent & Family Behavioral Health Program

Wellness Workshops