top of page
Group Hug

New Client Registration

Your bridge to a brighter future.

New Patient Intake Form

Clinical & Insurance Information
Location: Required
Services- Select all that apply Required

Thanks for submitting! We will be in touch with you soon.

Bridging the Gap in Behavioral HealthCare

We have openings for mental health therapy, outpatient addiction treatment, and psychiatry & medication management.

​

To start the intake process, please complete this form. We will contact you within 2 business days. You will receive an email from our therapy portal to sign consents. Once you complete paperwork, we will link you to requested services. 

Contact Us

Address

3000  Manchester Road Suite B
Manchester MD 21102

Contact

Main Phone

Fax Number

410-861-0066

410-348-7865

Opening Hours

Mon - Fri

Sat - Sun 

9:00 am – 7:00 pm

Closed

Online Service Hours

Mon - Fri

Saturday

Sunday

8:30 am – 9:00 pm

9:00 am – 9:00 pm

8:30 am – 5:00 pm

bottom of page