Referral

For referral to Crossroads’ Psychiatric Rehabilitation, Supported Employment (Vocational), Mental Health Case Management and Respite Services use the Crossroads Community Referral Form.

To submit a secure, encrypted referral on line, click here: Crossroads Community Referral Form
(Note that you may save your form entries and complete at a later time.  Use Save button at bottom of form.)

For a printer friendly version, click here to download: Crossroads Community Referral Form PDF

 

For referral to the PATH Homeless Outreach Program, use the PATH Referral Form.

To submit a secure, encrypted referral on line, click here: PATH Referral Form
(Note that you may save your form entries and complete at a later time. Use Save button at bottom of form.)

For a printer friendly version, click here to download: PATH Referral Form PDF

 

For referral to Crossroads’ Residential Rehabilitation Program, please contact Mid Shore Behavioral Health at 410-770-4801 for an Application for Residential Rehabilitation Services.

 

 

 

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This “Thank You Thursday” we’re giving a special shout out to some of the people who help make what we do possible! If you’d like to donate, you can go here:http://ccinconline.wwwmi3-sr16.supercp.com/donate/

Cheri Hoffman
Patti A. Judge
Gail Kalvaitis
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Want to make a difference? Check out our employment opportunities...

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