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We have made our process simple for you by supplying you with the initial document to get started. This physical assessment must be filled out by the residents Primary Care Physician.


Once completed please drop off at:

3800 Parkside Drive 

Baltimore, MD 21206 


Or fax to: 410.325.7256/443.759.5346

Or email to:



Please also include proof of income and all insurance information. This allows us to determine what other programs (if any) that can help.


Please click here (Healthcare  Practitioner Physical Assessment Forms)



If you have any further questions or concerns please contact us 410.325.7256.