Resource Group, Towson, MD - Make an Appointment

Please fill in the information below and our intake team will be in touch with you as soon as possible.

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Your Name *

Client Name and Age *

Phone *

Email *

Referral Source *

What services are you interested in? (choose all that apply) *

Individual Therapy
Family/Couples Therapy
Psychiatric Medication Management
Substance Abuse Services
DBT Skills Group

Who is your primary insurance provider? *

Email Communication Informed Consent *

I give informed consent
I do not give informed consent

I hereby authorize The Resource Group and Resource Connect to email me to coordinate services. This authorization includes confidential clinical and administrative information. I understand that unencrypted email could be read by a third party. The Resource Group and Resource Connect may use the e-mail address listed above. This informed consent goes into effect immediately and expires one year from this date or when I request it to end.

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