Behavioral Health Navigation Referral
Behavioral Health Navigation Services provides clients, family members, & professionals with information about the mental health and substance use resources available in Howard County. A Behavioral Health Navigator will assist the client, family member, or provider in determining which services best meet the client’s needs & interests. A Behavioral Health Navigator will then link the client to community resources/services & will follow-up on the outcome of the referral.
Once the form is submitted, someone from the Bureau of Behavioral Health will contact you within 24-48 hours. Please submit one form per individual and note that agency hours are 8 am - 4:30 pm, Monday through Friday. Additionally, we observe state holidays. If you would prefer to speak with a Behavioral Health Navigator by phone, please call 410-313-6240.
For additional questions please email Leah Bulka at
or call 410-313-6240.
** Please note that as of January 2021, all HCHD staff are supporting vaccination efforts and responses may be delayed as a result. Thank you for your patience. **
Who is in need of Behavioral Health Navigation Services?
Does the person accessing services speak English?
If no, what is their preferred language?
Your name (first & last)
What is your preferred method of communication?
Please select the age group for the individual in need of resources.
Older Adult (55+)
Please select the gender of the individual in need of resources.
Prefer not to say
Does the individual in need of resources have health insurance?
If you selected "Yes" for the previous question, who is the insurance provider? Please also specify if Medical Assistance/Medicaid or Private Insurance.
What type of resources are needed? Select all that apply.
General Behavioral Health Resources
Mental Health Services
Substance Use Services
Case Management or Psychiatric Rehabilitation Services
Access to Transportation
Insurance Eligibility (Medical Assistance)
Financial Support (housing, food, etc)
Please provide any additional information regarding the services/resources that are needed.
If this is an emergency, please call 911 or contact the Grassroots 24-Hour Crisis Hotline at 410-531-6677.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service