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Become A Patient

Thank you for choosing Mental Health Baltimore. We are a hybrid organization offering telehealth and appointment-only in-person visits!

Note: Your privacy is important to us. The information you share with us on this form will be kept confidential and part of your protected health information (PHI).

Complete Our New Patient Intake Below!

Select your new patient appointment type from the list below to complete new patient registration and schedule your appointment!  All initial evaluations are telehealth and are 50 minutes.  What's needed?  A smartphone, desktop, laptop, or tablet, a cell phone number, email address, and a good internet connection!

Enroll in Care Today! 

We are delighted to welcome you to our practice and appreciate the trust you place in us to manage your healthcare. 

Step 1: Complete New Patient Registration

To initiate your journey with us, the first step is to complete the new patient registration. This will give us some basic information about you, including your name, contact details, emergency contact, and medical history.

Adult New Patient

Pediatric New Patient

Step 2: Complete Patient Consent Forms

The next step involves granting us the necessary permissions for your care. 

Treatment Consent Form: This essential form provides us with your agreement for you or your child’s healthcare and treatment plan.

Telehealth Consent Form: With this, you enable us to incorporate remote telehealth services into your or your child’s healthcare.

Adult Consent Form

Pediatric Consent Form

Telehealth Consent Form

Step 3: Schedule New Patient Appointment

Now that we have your registration and consent forms, the next step is to schedule your first appointment. You can use our online scheduler to select a date and time that works best for you.

About Us

Link this button the our general scheduling page at this link: Button Schedule Appointment Bar

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