INSURANCE: Please note that we are considered out-of-network and do not bill insurance directly. Payment is due in full at each appointment. We can provide Superbills with all necessary information to submit to your insurer for out-of-network reimbursement. You can learn more information about our fees here.

Name *

First Name

Last Name

Email *

Phone

(###)

###

####

What are you hoping to work on in therapy?

Stress

Generalized anxiety

Panic attacks

Social anxiety

OCD

Mental health struggles during pregnancy

Postpartum depression

Postpartum anxiety or OCD

Other postpartum concerns

Individual work related to polyamory or consensual non-monogamy

Relationship therapy -- conflict and communication concerns

Relationship therapy -- infidelity

Relationship therapy -- issues related to polyamory or consensual non-monogamy

Depression

Other mood disorder

Trauma

Grief & loss

Body image or disordered eating

LGBTQIA+ concerns

Other (elaborate below)

Please elaborate on your therapy goals so we can match you with the most appropriate therapist. *

Is there a specific therapist you are hoping to work with?

What is your availability for sessions? *

What is your preference for location? *

Please confirm you are aware that Open Lines Counseling is an out-of-network practice. Payment is due at the time of service. We can provide Superbills to submit for out-of-network reimbursement. *

I understand

How did you hear about Open Lines Counseling?

Is there anything else you would like us to know?

Is it okay to contact you via text?

Would you like to opt-in to receive responses via text messages from Open Lines Counseling? Opt-in is optional. By opting in, you agree to receive messages from Open Lines Counseling in response to inquiries regarding requests for services, scheduling, non-clinical questions from Open Lines Counseling LLC. Message frequency varies. Message and data rates may apply. If you need support you can call or text HELP to 410-324-6809, visit our website at www.openlinescounseling.com, or email info@openlinescounseling.com. Reply STOP to any text message you receive from Open Lines Counseling LLC to opt-out. For more information visit our privacy policy and terms and conditions at https://www.openlinescounseling.com/privacy-policy-terms-and-conditions

Yes

Thank you! We will be in touch soon.

Location

4800 Roland Avenue, Suite 301, Baltimore, Maryland, 21210

Contact

info@openlinescounseling.com
410-324-6809

Email Address

We respect your privacy.

Thank you!

See Privacy Policy and Terms and Conditions

Open Lines Counseling is a therapy private practice that operates on unceded Susquehannock, Piscataway Conoy, and Nanticoke indigenous lands.

We acknowledge the history and ongoing colonization of our location as well as our own place in the story of colonization. We acknowledge and express gratitude to these indigenous communities, their elders both past and present, as well as future generations.

Adapted from land acknowledgements developed by VRA and Maria Archulata and Victoria Lebrón Forster-Smith.

WEBSITE BY ELLIE MILLER DESIGN CO.