New Patient Intake Form

​To start the intake process, please fill out the form below. The Intake Coordinator will get back to you within 2 business days with available appointments. ​
​Waiting List
Sykesville & Eldersburg
​4-5 months for appointments after 2pm
4-6 weeks for daytime appointments
Westminster
4-5 month waiting list for all availability 
Updated 05/28/2020

Your First Visit in Office
Please complete all 6 documents below

New Patient Information
File Size:	117 kb
File Type:	pdf

Download File

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Minor Patient (If patient is under 18 y/o)
File Size:	103 kb
File Type:	pdf

Download File

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In Office Informed Consent
File Size:	129 kb
File Type:	pdf

Download File

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Technology Consent Form
File Size:	112 kb
File Type:	pdf

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Credit Authorization Form
File Size:	159 kb
File Type:	pdf

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COVID-19 Informed Consent
File Size:	104 kb
File Type:	pdf

Download File

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Telehealth Paperwork 

Telehealth Informed Consent
File Size:	123 kb
File Type:	pdf

Download File

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Other Paperwork 

Consent for Animal Assisted Therapy
File Size:	88 kb
File Type:	pdf

Download File

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Release of Information
File Size:	91 kb
File Type:	pdf

Download File

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Email address: 
Info@AnchorCounselingCenters.com

​​Phone Number:
443-328-4946
​Fax Number:
410-875-7687
​
Cumberland Location:
Telehealth only at this time

Eldersburg Location:
5420 Klee Mill Road
# 4
Eldersburg, MD 21784

Columbia Location:
10440 Shaker Drive
#207
Columbia, MD

Sykesville Location: 
​7524 Main Street
#101
​Sykesville, MD 21784

Westminster Location:
Optimal Wellness for Life
1812 Baltimore Blvd.
Suite C (around back)
Westminster, MD 21157