Compassionate, Recovery-Oriented Mental Health Services—Start the Referral Process Today.
Refer a Client
We welcome referrals from:
- Therapists
- Psychiatrists
- Hospitals
- Social workers
- Case managers
- Community organizations
- Family members
- Self-referrals
Two Ways to Refer
At D-Laite Group, we welcome referrals from healthcare providers, community organizations, families, and individuals. To protect client privacy, we offer two ways to refer: a quick contact form or a secure downloadable referral form.
Choose Your Referral Option
Quick Referral (1–2 Minutes)
Submit a brief referral request, and our team will follow up to complete the intake process.
Short Referral Form
Full Referral (Recommended)
For faster processing and to provide complete information, download and submit our full PRP referral form.
Download PRP Referral Form (PDF)
Submission Instructions
Please return completed forms securely via:
- Email: dlaitegmhs@hotmail.com
- Fax: 443-229-7029
For privacy, please do not send sensitive information through unsecured email unless encrypted.
What Happens Next?
After receiving your referral:
- Our team reviews the information
- We contact the client within 24–48 hours
- We schedule an intake assessment
- Services are coordinated based on individual needs
Commitment to Confidentiality
D-Laite Group is committed to protecting the privacy and confidentiality of every individual we serve. All information is handled in accordance with applicable privacy regulations and best practices.