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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

if you are unable to complete your registration. 

Our intake coordinator will take your information over the phone. 

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