New Patient Registration There are two ways to start services:Clients may self-refer by completing the form belowProfessional Referrals should be faxed to 240-459-3074Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Phone # *I'm Interested inIndividual TherapyCouple TherapyFamily TherapyMedication Management With Berlinda BlancMedical Marijuana Evaluation w/ Prescribing ($325 Cash Pay Only)Have you tried self-scheduling? You may be able to get an appointment right away!I'm availableSome Mornings (8 AM- 12 Noon)Some Afternoons (1-4 PM)Evenings (after 5pm)WeekendsI would like to be seen in the Greenbelt OfficeTeletherapy (Video Counseling)I plan to pay usingCareFirst BCBS (All Therapists)Amerihealth Caritas DCCignaUnited HealthcareCash, Credit, Check, HSA/FSA (All Therapists)Low-Fee Therapy ($50)Have you tried self-scheduling? You may be able to get an appointment right away!I would prefer to work withAny therapist availableMichael BarnetteAdam ButtrickJenae' BryantMelanie CounteePoonam EthakotuMarie HartfieldAna RiveraSherina ShamsaDelandria StatonBerlinda Blanc (Medication Management Only)Alicia Medina (Medical Marijuana Evaluation)Appointment availability with specific therapists cannot be guaranteed. But don't worry....all of our therapists are wonderful! Please select 2-3 options in the event your first therapist choice is not available. What brings you to therapy?MessageSubmit
