Please review and sign these forms and bring them with you to your first appointment.
Please note: To complete the forms online, choose to print the file, then "Save as a PDF" to save the entered information. You will then be able to save the file to your computer.
New Client
Notice of Privacy Practices
Personal History Questionnaire
Release of Information
Card Authorization (please write the 3-digit security code next to the card number)
Please note: To complete the forms online, choose to print the file, then "Save as a PDF" to save the entered information. You will then be able to save the file to your computer.
New Client
Notice of Privacy Practices
Personal History Questionnaire
Release of Information
Card Authorization (please write the 3-digit security code next to the card number)
Suburban Crossroads Counseling
www.baltimorecounselingservices.org
Office locations in Catonsville and Towson
Serving all of Maryland through telehealth
www.baltimorecounselingservices.org
Office locations in Catonsville and Towson
Serving all of Maryland through telehealth
Suburban Crossroads Counseling (SCC) does not discriminate on the basis of race, ethnic background, religion, gender,
gender expression, age, national origin, disability, marital status, sexual orientation, or military status.
gender expression, age, national origin, disability, marital status, sexual orientation, or military status.