Therapeutic Behavioral Service (TBS) Program

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					              Therapeutic Behavioral Service (TBS) Program

Referral Process

       - Send a formal letter, via fax to: Kia James @ (410) 281-2721
       - The letter must be from the client’s LCSW-C or Psychiatrist
       - Please include the following in the letter:
              o Client name, DOB & MA#
              o 5 Axis Codes
              o Detailed description of presenting issues
              o Brief summary of client’s behavioral history
              o Indicate if client is in danger of a higher level of care
              o # of hours per/month requested (20-40 hours)
              o Requested provider: T.I.M.E. Organization, Inc.
                                      2901 Druid Park Drive, Suite A-202
                                      Baltimore, MD 21215
                                      (410) 225-0062
              o Current interventions or programs in place for client
       - Please CC the referral letter to T.I.M.E. Organization, Inc. and fax
          us a copy to (410) 225-0184

Upon authorization, you will be contacted concerning program initiation and
next steps.

T.I.M.E. Organization, Inc. – Teaching, Inspiring, Mentoring, Empowering