Referrals

Submit a Referral If you are a new client or partnering agency that would like to refer a new client for mental health services, you may use our referral form. Completed referral forms can be mailed, faxed, or hand delivered using the information found at the top of the form.  Upon receipt of the completed referral form, we will contact you to schedule an appointment. QCI Referral Form If you are experiencing a mental health medical emergency, call 911 or go immediately to the closest emergency room.   QCI Behavioral Health, LLC Prince George’s County 9475 Lottsford Rd, Ste. 250 Largo, MD 20774 301-636-6504  Fax 301-636-6509   QCI Behavioral Health, LLC Southern Maryland Calvert County Charles County St. Mary's County 5010 Regency Place, Suite 203 White Plains, MD 20695 240-427-3554 Fax 240-419-2556 Toll Free 855-724-8500

QCI Behavioral Health, LLP Washington County 201 North Burhans Boulevard Hagerstown, MD 21740 301-791-2660 Fax 301-791-5032 QCI provides services for English speaking patients at this time. QCI will attempt to direct non-English speaking individuals to appropriate resources to the best of our ability. ​ NOTE: When using the email addresses below, your information is not encrypted. Your responses may be read by others using your Internet service. Please do not include any sensitive information.