Outreach Online Request Form

To request a program from the Counseling Center, please complete the Outreach Request Form. We suggest that requests be made a MINIMUM of 3 WEEKS in advance of the anticipated program date.

If you would like to schedule an appointment for individual/group counseling, psychiatric consultation, referral assistance or any other Counseling Center service, please do not use this form; instead, you may call our office at 410-455-2472.

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