If you have any questions not answered elsewhere on the website regarding our Vocational, Foundations, or Supported Living programs, please call 301-493-4200 x22234 and leave a message. If you have questions for the Clinic please call that location directly. Please note that there may be a waiting list for these programs.

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To apply for our Clinic, Vocational, Foundations, or Supported Living programs please complete the following:

 

Universal Program Application

(ENGLISH)                 (SPANISH)

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To apply for Assertive Community Treatment (ACT) services, complete the ACT Referral.  Referrals should be faxed to  888-525-4231.

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ACT Referral

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To apply for Residential Crisis Services, complete the RCS Referral.  Referrals can be faxed to 844-762-3230 or emailed to fentonmcauliffe@cornerstonemontgomery.org You can also reach our RCS team by phone at 301-674-9701.

 

RCS Referral

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To apply for Residential Rehabilitation Program (RRP) services, complete the Local Behavioral Health Authority’s (LBHA) Application, and return to to:

Montgomery County LBHA

401 Hungerford Dr.

Rockville, MD 20850

FAX - 240-777-1145

 

LBHA RRP Application