REQUEST AN APPOINTMENT
To schedule a first-time appointment with a Chesapeake Mental Health provider please click the button below to complete our HIPAA-compliant online intake form. Our intake coordinator will contact you within 48 hours after the form completion
Please contact our office at 410-567-1117 ext 1 or email us at firstname.lastname@example.org
if you are unable to complete your registration.
Our intake coordinator will take your information over the phone.