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. Phone registration is easy, just have the following information ready to provide to the administrative staff and get your appointment made today!

  • Your current address
  • A reliable phone number where you can be reached
  • A reliable email address
  • Your current insurance information

Please plan an hour and half for your first appointment to complete all the paperwork. 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 the following with you to your first scheduled appointment:

  • 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 the following with you to your first schedule appointment:

  • 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

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 there may be 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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Did you know that October is National Depression Education & Awareness Month? We've compiled the most recent data we could find related to depression for Mid Shore youth and young adults.* The Maryland average of high schoolers reporting symptoms of depression is 32% - Talbot, QA and Caroline were slightly lower than the average, while Dorchester and Kent were higher. The male/female rates also follow much of the rest Maryland. What we noticed is that over the last three years, the rates in all five counties are trending up. With the number of youth struggling with depression today, it is likely your teenager or young adult has been affected in some way, whether personally, or through a friend or peer. It's important to start the conversation about depression (and mental health in general), with the young people in your life.

Want to talk to your loved one but aren't sure how? Here's an article to help get you started: polaristeen.com/articles/talking-to-your-teen-about-depression/

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If you are looking for services, Crossroads offers a Healthy Transitions program that blends wraparound planning, care coordination, mentoring and advocacy that supports youth and young adults with managing their mental health symptoms effectively. The program emphasizes building self-reliance, creating lasting, supportive relationships, problem-solving skills, educational and vocational development. We are currently accepting referrals. If you or someone you care about is:

- A resident of Kent, Queen Anne's, Caroline, Talbot or Dorchester County

- Between 16 and 25 years old

- Experiencing a mental health condition

Contact our Coordinator, Jennifer Saulsbury at 443.988.2041 or phillipsj@ccinconline.com to start the enrollment process.

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#MDHealthyTransitions #youngadultmentalhealth

*The figures below are from the 2018-2019 Youth Risk Behavior Survey conducted by the Maryland Department of Health and are specific to high schoolers in the five Mid Shore Counties.
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