Application

Application

If you're a new client, please complete the following forms and you can either scan and email them or put into the mail [email protected] or 101 South Main Street, Suite 307, Bel Air, Maryland 21014

    • Application (see below) PLEASE ADD YOUR EMAIL ADDRESS TO THE APPLICATION

Download the application on your computer, and then open it directly in Acrobat or Acrobat Reader (see below if you do not already have it on your computer already).

When the application and Consent Form is filled out, email them back to [email protected] let us know if you have any issues.

 Application
 Consent Form

Note: To download Adobe Acrobat Reader for free, click here .


Helpful Forms

Click here to view and print forms for your appointment.

CLICK HERE


Carol A. Deel, Ph.D., LCPC, LCMFT


410-879-2470


101 South Main Street
Suite 307
Bel Air, Maryland 21014


[email protected]