ok
On-line application
In a crisis? Call 301-925-9120
ok
 
Who is Eligible?
  Any Individual who:  
Is experiencing a psychiatric crisis.
Requires a temporary separation from his or her current living situation.  
Can care for her/his physical needs and basic personal hygiene, with staff support if necessary.  
Agrees to follow the rules and participate actively in his/her treatment.  
Is currently in an inpatient psychiatric unit.  
Is Medicaid eligibile, has Medicaid, Medicare or is uninsured.  
Has commericial insurance -- to be expanded  
 
 
   
   
   
   
  Hyattsville EMR Staff Login:  
  Gaithersburg EMR Staff Login:  
 

Waldorf EMR Staff Login:

 
 

Ellicott City EMR Staff Login:

 

 

 

 

 

 

 
Download Application Form:
Please click on the link above to download the eligibility application PDF. The application can be faxed to 301-925-4328.
   
 
ok

Apply on-line: (not available at this time)
You may fill out the eligibility application on-line by clicking on the link above. Please use the Account Name of "eligibility" and leave the password field blank.

ok
Location 1 Crisis Beds Hyattsville
Location 2 Crisis Beds Gaithersburg
6910 Annapolis Road
Hyattsville, MD 20784
Office: 301-925-9120
Fax: 301-851-5199
1002 Quince Orchard Rd.
Gaithersburg, MD 20878
Office: 240-686-6319
Fax: 240-686-6348
Location 3 Crisis Beds Waldorf
Location 4 Crisis Beds Ellicott City
3050 Old Washington Road
Waldorf, MD 20601
Office: 240-607-9164
Fax: 240-607-9271
8640 Ridge Road
Ellicott City, MD 21043
Office: 410-461-0760
Fax: 410-461-0740
Staff Login: