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If this is an emergency, call:

Crisis Line: (410) 768-5522
911

Your Information

First name

Last name

Email address

Phone number

I'm a previous client

What day's and times work best to schedule you?

Days

Monday's

Tuesday's

Wednesday's

Thursday's

Friday's

Saturday's

Best times to be seen Please note that evening hours fill up quickly. If possible include additional daytime times that may work for you as well.

Morning (9am-11am)

Mid-Day (12pm-3pm)

Evening (4pm-9pm)

Tell us a little about why you are seeking counseling now. This information will be used to help us find the best clinician fit for you. This form is secured and meets the standards for secure electronic communication.

Please tell us the age of the person seeking counseling. We have counselors who work with 4+ but in order to ensure we pick the very best fit for you we would like to know the age of the person seeking counseling.

Ages 4-8

Ages 9-13

Ages 14-26

Ages 27+

Child Custody Understanding For Children who do not reside with biological parents we will require documentation of legal guardanship and the ability for that legal guardian to consent to mental health treatment for the minor. In most cases both legal guardians may need to sign necessary consent for treatments. Please note below that you understand.

Yes I understand No I do not understand (please contact me to discuss further) Not Applicable

Additional information

If there's anything else that you would like me to know prior to your appointment, please include it here.

If you would like us to obtain insurance information prior to scheduling please upload a copy of your insurance card. Please include front and back as sometimes we need to directly call them to ensure you have mental health benefits. There is never a guarantee with providing benefits information as it can change on any given day.

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General Practice Information

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Mental Health Tips & Tools

Parenting Information for all stages of development

Consultation, Supervision, and Trainings

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Turning Stone Counseling LLC

Turning Stone Counseling is a private group mental health practice. We provide counseling to children ages 4 to adults, working with anxiety, depression, pregnancy and beyond, life transitions, and relationships.

+1-410-841-9647
www.turningstonecounseling.com
about
TSC_counseling
3100F Mountain Rd , Pasadena, MD, 21122, United States