We appreciate and value your interest in making a client referral to Leading by Example.
By referring a client to our program, you have begun a relationship with a network of community servants that are committed to delivering the highest quality care and service.
It is our goal to make the referral and service initiation process as user-friendly and efficient as possible. Therefore, we have provided you with 3 easy steps to making a referral below. In addition, we have included a referral form on this site that can be filled out electronically and emailed directly to our Office Manager. Finally, we have included a list of things that you can expect after you have successfully referred a client to our program.
At this time we provide services to clients receiving Medical Assistance.
To make a therapy appointment, please call 410-780-2692. Please have your insurance information available.
Anyone may make a referral for TCM services; it is not limited to the client’s mental health therapist, as persons being recommended for TCM may not currently be connected to an outpatient therapy provider. However, the client must have a mental health diagnosis given by a previous provider. It is not necessary for a client to currently be insured to obtain TCM services; if a client is uninsured, we can support the client in the application process for Medical Assistance.
Step 1: Speak with the client that you will be referring and inform them that you are making a referral on their behalf to Leading By Example for the specific services that you are requesting.
Step 2: Complete either a hard copy or electronic referral form with all necessary client information.
To complete an online electronic referral form, click here
Click Here to download a Referral Form for Fax or Email
Step 3: Have the client sign the Release of Information located on the last page of the referral.
Step 4: Fax referral form to Leading By Example FAX#: 410-670-3010.
- Once we have received your referral we contact you directly to thank you for entrusting us with your client, and to confirm that we received the referral.
- The next step depends on whether the client receives Medical Assistance or is uninsured.
- If the client is insured, we will submit for authorization.
- If the client is not insured, a Clinician will contact the client to gather additional information necessary to complete the uninsured authorization forms.
- The authorization process usually takes 72 hours but may take up to 2 weeks.
- Once client is authorized for services, we contact the client within 24 hours to inform them that services have been authorized and they have been assigned to a Case Manager.
- Case Manager will contact client to introduce their self and to schedule the initial intake.