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.
Step 1 : Speak with a 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: Fax referral form to Leading By Example FAX#: 410-780-2694
- 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.
- Next, we contact the client or family to schedule a screening assessment.
- Once the client is screened to ensure that they are an appropriate fit for our services, we will submit for authorization.
- The client is submitted for authorization of service. This process usually takes 72 hours.
- Once a client is authorized for service we contact you within 24 hours to inform you that services have been authorized.
- We then contact the client and family immediately to schedule an initial assessment. In addition, the client is matched to a Direct Service Worker who will be facilitating rehabilitation or behavior modification services directly.
- Direct Service Worker will contact you to introduce their self and to ensure that you have their direct contact information.
- After the initiation of service, you will receive a monthly summary of your client’s progress with rehabilitation and/or behavioral goals.