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  • Baltimore, MD

    (410) 878-1085

  • Columbia, MD

    (410) 910-3847

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Transformation Healthcare

  • About THI
    • Transforming Lives
    • Meet The Team
  • Programs
    • OMHC - Outpatient Mental Health Clinic
    • PRP - Psychiatric Rehabilitation Program
    • SUD - Substance Use Disorder
    • RES - Residential Support Program
    • PS - Peer Support
    • ACT - Assertive Community Treatment
    • HH - Health Home
    • EAP - Employee Assistance Program
  • Referral Forms
    • ACT (Mobile Services) Referral
    • Online PRP Referral Form
    • Online Pre-Authorization
  • Events
  • Careers
    • Available Positions
    • Intern
    • Submit Resume
  • Connect
    • Contact Us
    • Volunteer
    • COVID-19

Referral Forms

ACT (Mobile Services) Referral

Online PRP Referral Form

Online Pre-Authorization

 

Other Forms & Documents

Insurance Verification

Brochure

Transformation Healthcare

  • Find us on:
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Get In Touch

6212 York Rd,
Baltimore, MD 21212

  (410) 878-1085

  [email protected]

 

9139 Red Branch Road, Suite F.
Columbia, MD 21045

  (410) 910-3847

  [email protected]

Company

  • About us
  • Contact us
  • Careers
  • Events
  • Forms and Documentation

Referral Forms

  • ACT (Mobile Service) Referral Form
  • PRP Referral Form
  • Online Pre-Authorization Form

 

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