Forms

Local Behavioral Health Administration Forms:

lbha complaint form 

LBHA MENTAL HEALTH CONSUMER SUPPORT APPLICATION

LBHA MENTAL HEALTH CONSUMER SUPPORT APPLICATION – SPANISH

LBHA MENTAL HEALTH CONSUMER SUPPORT APPLICATION – HAITIAN CREOLE

Maryland RecoveryNet Forms:

MDRN CLIENT SUPPORT APPLICATION

MDRN CLIENT SUPPORT APPLICATION – SPANISH

MDRN CLIENT SUPPORT APPLICATION – HAITIAN CREOLE

PEER SUPPORT ADMISSION FORM

RESIDENTIAL REHABILITATION PROGRAM (RRP) APPLICATION

HOUSING APPLICATIONS (on hold as of december 12, 2025):

HALS COC PERMANENT SUPPORTIVE HOUSING APPLICATION

HALS COC PERMANENT SUPPORTIVE HOUSING APPLICATION – SPANISH

HALS COC PERMANENT SUPPORTIVE HOUSING APPLICATION – HAITIAN CREOLE

STATE CARE COORDINATION SERVICES REFERRAL PACKET

RE-ENTRY ADMISSION FORM

TARGETED CASE MANAGEMENT FORMS:

TARGETED CASE MANAGEMENT PROGRAM REFERRAL

TARGETED CASE MANAGEMENT PROGRAM REFERRAL – SPANISH

TARGETED CASE MANAGEMENT PROGRAM REFERRAL – HAITIAN CREOLE

Homeless ID Form 

HOMELESS ID INSTRUCTIONS

HOMELESS ID FORM – SPANISH

HOMELESS ID FORM – HAITIAN CREOLE

AUTHORIZATION FOR RELEASE

SCHD HIPAA AUTHORIZATION