Make A Referral
Lower Shore Clinic Intake Forms
Formulario de Registro de Cliente
Click to open the PDF referral document you need.
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Next Steps
Please submit all paperwork (with signatures) to Lower Shore Clinic front desk via fax or email.
fax 410- 341-3397
email referral@lowershoreclinic.org
Feel free to send us a message if you need help.
Accepted Insurance Policies
Please review our list of accepted insurance policies.
We also offer a Sliding Fee Scale for those who cannot afford care. No one is denied access to care due to inability to pay. The sliding fee scale is based on family size and income level. Proof of income is required. One month's income statements or tax filing information is acceptable.