Referrals to QCI Behavioral Health, LLC, of Prince George's County and Southern Maryland
If you are a new patient or partnering agency that would like to refer an individual for mental health services, please submit a referral by:
Using QCI's Prince George's County and Southern Maryland online referral submission: QCI PG Co & SoMD Referral Form_Initial ROI
Printing the Prince George's County and Southern Maryland PDF listed below. Paper referrals may be faxed, mailed, or hand-delivered to the preferred office address on the form.
Kindly provide as much information as you can in the form to help us process the referral quickly.
Upon receipt of the completed referral form, we will contact you to schedule an appointment. You may also call the main office to complete a referral over the phone.
WASHINGTON COUNTY: For services in Washington County, please contact the Hagerstown office directly at 301-791-2660 .
If you are experiencing a mental health medical emergency, call 911 or go immediately to the closest emergency room.