Client Referral Form
Please enter all information as thoroughly and completely as you can. All information is securely sent to Hands Across Baltimore for our evaluation.
You will be contacted by a Hands Across Baltimore team member, once your referral information is reviewed. Please provide current and active contact information.
You can also download or print out the referral form to be mailed or faxed to Hands Across Baltimore as well. Referral Word Doc Form l Referral PDF Form
Referral Intake Form
CONTACT US
Do you know someone who could benefit from PRP services?