Referral Form

We Love Referrals


Children who are 5 years and above are eligible for our program with a referral from the treatment coordinator or psychiatrist or any licensed clinician providing treatment to the minor. Any adult and minor with severe mental health diagnosis is eligible to be served by our program. BFSS only accepts consumers with Medicaid only. We can also refer individuals to other providers for other mental or behavioral health specialty or any other health care needs identified while receiving services at our program. We will accept outside referrals from the following self, parents, legal guardians, nurses, social workers, teachers, counselors, doctors, psychologist, schools, health facilities, churches, departments or social services and juvenile services, and the court systems.Fees are reimbursed by Medicaid, there are no cost to consumers.

The main office will be open Monday through Friday from 9:00am and 5:00pm and on Saturdays from 10:00am – 2:00pm.

All staff members are available by cell phone or other electronic means of communication 24 hours, 7 days a week to respond to crisis. Our main phone number is 410-656-2142. email

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