Register for Services

Registration is simple.  If you are a prospective client begin your registration over the phone (parent or guardian may register a minor).  See our LOCATIONS page for hours of operation, phone and fax numbers.  Or, you may download a registration packet from the link below.  Or, call and request a registration packet to be mailed to your home address.

Submit registrations completed remotely to the desired clinic location via email scan, USPS mail or fax.  After the registration is processed, you will be given an appointment for a clinical intake.

Bring with you or send copies of the following items:

  • All current Insurance Cards – primary and secondary
  • Photo ID
  • Patient Social Security Card
  • Primary Medical Doctor’s name, address and phone number

If Patient is a minor, you will also need to bring in or send copies of:

  • Proof of custody ( Custody order)
  • Proof of address
  • Immunization record
  • Birth certificate

If you currently have no insurance, please bring in or send copies of the following for income verification:

  • 3 most current pay stubs  OR
  • Prior year tax return

Choose the packet that applies to your situation:

Print and fill out either the Adult or Child Information Packet, whichever applies to your situation. If you cannot print out the Information Packet, you can fill it out when you arrive for registration. But it is a great time saver if you can do it in advance.

Download/print Adult Information Packet

Download/print Child Information Packet

Notes:

Children are not required to attend the registration meeting.

Acceptance and schedule for intake is dependent on qualifying for services, and if required, obtaining authorizations for services.

Failure to provide all necessary documents can result in no scheduled clinical visits.

Please be advised that there is a Wait List for ALL private insurance. In order to be added to the list, the registration process must be completed.


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Corsica River Mental Health Services, a subsidiary of Crossroads, is pleased to introduce Dr. Jack Rosenblatt as their new Medical Director. Dr. Rosenblatt will be responsible for maintaining appropriate standards for treatment, including therapeutic modalities and prescribing practices. "I am honored to be joining the dedicated and hard-working staff at Corsica River Health," Dr. Rosenblatt said. "My background and commitment to this organization allow me to uphold Corisca River's quality of service to the communities we are privileged to serve.”
After graduating from Vanderbilt University School of Medicine, Dr. Rosenblatt completed his psychiatric residency at Johns Hopkins University School of Medicine and Johns Hopkins Hospital. He then received additional
training at the National Institutes of Health (NIH), where he spent five years as Clinical Associate and Staff Psychiatrist, performing original research and publishing his findings in major scientific and medical journals.
Dr. Rosenblatt has been a Board-certified private practitioner in psychiatric practice for more than thirty years. He specializes in the treatment of children, adolescents, and adults with depressive disorders,
anxiety, attention deficit hyperactivity disorder (ADHD), and bipolar disorder. He was the founding editor of a highly respected, noncommercial literature review in psychopharmacology, and is regarded as an expert in the practice of evidence-based psychiatry and
clinical pharmacology.
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Annapolis Action Day: Behavioral Health
Coalition Rally - February 20, 2019

Join members of the Community Behavioral Health Association of Maryland and the Behavioral Health Coalition for a rally and march in Annapolis.
Educating your legislators about the importance of behavioral health is important as this year's election has resulted in broad turnover.
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Crossroads Community, Inc.
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A new year has begun and the possibilities are endless. Wishing everyone joy and hope in 2019! ... See MoreSee Less

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