Health Services Form Page - Catholic Charities of Baltimore

Note:

At the present time, our clinics are not able to serve individuals who have private insurance.
BCARS is for city youth in emotional or mental health crisis only.
The location at Fallsway serves adults only.

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone*
Cell Phone*
Work Phone
Email
May we leave a voicemail message?
- Yes
- No
Do you have Medicare/Medicaid?
- Yes
- No
Do you have a preferred clinic location?

I-97 Business Park, 1111 Benfield Blvd., Suite 200, Millersville, Maryland 21108
6999 Reisterstown Road, Baltimore, MD 21215
725 Fallsway, Baltimore, MD 21202
300 W. 9th Street, Frederick, MD 21701
1301 Continental Drive, Suite 101, Abingdon, MD 21009
2700 Washington Ave, Baltimore, MD 21227
308 Virginia Avenue, Cumberland, MD 21502
2 North Dundalk, Dundalk, MD 21222
1118 Light Street, Suite 200, Baltimore, MD 21230
2300 B Dulaney Valley, Timonium, MD 21093