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.

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


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


Fax 240-419-2556

Toll Free 855-724-8500

QCI Behavioral Health, LLP

Washington County

201 North Burhans Boulevard

Hagerstown, MD 21740


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.