We have made our process simple for you by supplying you with the initial document to get started. This physical assessment must be filled out by the residents Primary Care Physician.
Once completed please drop off at:
3800 Parkside Drive
Baltimore, MD 21206
Or fax to: 410.325.7256/443.759.5346
Or email to: firstname.lastname@example.org
Please also include proof of income and all insurance information. This allows us to determine what other programs (if any) that can help.
Please click here (Healthcare Practitioner Physical Assessment Forms)
If you have any further questions or concerns please contact us 410.325.7256.