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