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Lower Shore Clinic Intake Forms

Client Registration Form

Fom Enskripsyon Kiyan

Formulario de Registro de Cliente

Make an appointment through our chat.

Or contact us using the information below.

• phone (410) 341-3420

• email referral@lowershoreclinic.org

Need to make a referral instead? Go here.

Accepted Insurance Policies

Please review our list of accepted insurance policies.

We also offer a Sliding Fee Scale. The scale is intended for individuals who can't afford care, including those at a lower income level, and self-payers. The sliding scale makes services more affordable. Proof of income is required. One month’s income statements or tax filing information is acceptable.