Wait List Form
Thank you for your interest in services with Insight Wellness of Maryland. At this time, there is currently a waitlist for the therapist you were interested in. Please complete the following form, so that as soon as a time is open your information will be pulled and we will match you based on your needs.

We have provided options for times and days for appointment preferences; however, we cannot guarentee these times will be available. We will provide you with first open appointment time.

This is for routine appointments with a therapist please do not add yourself to the waitlist if you are in crisis.

If you have any further questions or wish to see another clinician please contact us via info@insightmaryland.com

Thank you,
Insight Wellness of Maryland, LLC
Name *
Date of Birth *
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Phone number *
Email Address *
Referred by:
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