Forms | Relational Excellence

Blue Cross Blue Sheild

Once your first appointment is on the books, this is the paperwork that will need to be completed for those with Maryland Blue Cross Blue Shield (CareFirst)

Maryland Medicaid

Once your first appointment is on the books, this is the paperwork that will need to be completed for those with Maryland Medicaid

Self Pay

Once your first appointment is on the books, this is the paperwork that will need to be completed for those who intend to pay out of pocket for services.
Initial Session $220

Follow Up Sessions $140

New Clients

Start here with our intake form for clients over the age of 9 seeking mental health counseling, medication management, and group therapy

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Nuevos Clientes

Comience aquí con nuestro formulario de admisión para clientes mayores de 9 años que buscan asesoramiento en salud mental y manejo de medicamentos.

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