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Psychiatric Rehabilitation Program for Minors (PRP/M)
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Existing Client Collaboration
Home
About Us
Charitable Sector
Capability Statement
Employee Spotlight
Executive Directors
Performance Management Reports
Strategic Plan
Services
Individual Therapy
Group Therapy
Medication Management
Targeted Case Management
Targeted Life Skills (TLS) Program
Care Coordination for Minors
Psychiatric Rehabilitation Program for Adults (PRP/A)
Psychiatric Rehabilitation Program for Minors (PRP/M)
Transportation
Submit A Referral
EMRC Referrals
BCDSS Wellness Program
Targeted Life Skills Program
Outreach and Events
Careers
Patient Payment Portal
Baltimore
Edgewood
Glen Burnie
Owing Mills
Temple Hills
Employee Portal
EMRC Training Request
ADP Employee Login
EAP Login
Relias Training
InSync Login
Internal Referral Form
Medical Records Request
Existing Client Collaboration
Targeted Life Skills Program
Targeted Life Skills Program Referral Form
Youth Name
*
Date of Birth
Gender
Male
Female
Other
Type Gender
0 / 25
Race
African-American
Hispanic or Latino
White or Caucasian
American Indian or Alaskan Native
Asian
Pacific Islander or Hawaiian
Enrollment Date
*
School/Facility
*
Program Level
*
Please select an option
Middle School TLS Program
High School TLS Program
Transitional TLS Program
Grade
*
Please select an option
6th
7th
8th
9th
10th
11th
12th
N/A
Cohort
*
Cohort Location
*
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