We are open from 9:00 AM to 8:30 PM Monday through Thursday, and from 9:00 AM to 5 PM on Friday (other times available through arrangements with your provider).
The Administrative Staff is available from 9:30 AM to 6:30 PM Monday through Thursday and from 9:00 AM to 5:00 PM on Friday. We do not have phone hours from 12:30PM to 2 PM daily. You will receive a return call for a messages left during that time.
During inclement weather, please see the weather advisory on the website, or call the office for our operating hours.
Providers at White Marsh Psychiatric Associates, LLC are able to address a wide variety of mental health concerns. Our providers have an extensive background in the field of mental health and view it as a privilege to assist you towards your goals. The providers at White Marsh Psychiatrics Associates LLC can help you achieve your goals through psychotherapy and/or medication management.
We look forward to the opportunity to work with you and value the trust you place in us to help you achieve your goals.
Please understand that not all of our providers are credentialed with all of the insurances listed below. Please contact your insurance or managed care company to be sure that your provider is in your insurance panel.
You can fill out the New Patient Registration form below and bring it to the first session. You can also read and/or download the Office Policy Form and the Policies, Procedures & Consents Form. However, you must sign these forms in the office at the time of your first visit.
These forms will also be available at the office.
Please click below to find:
New Patient Registration Forms (All forms in this section are needed for patient registration.)
New Patient Paperwork
Cross-Cutting Measure - Adult (Self)
Cross-Cutting Measure - Child Age 6-17 (Parent/Guardian)
Cross-Cutting Measure - Child Age 11-17 (Self)
New Patient Information Forms
Notice of Privacy Practices
Patient Rights and Responsibilites
Additional Forms
Authorization for Release of Confidential Information
Authorization for Release of Confidential Information - Psychotherapy Notes
Specific Authorization to Release Protected Health Information
Student Consent for Laurarose Dunn-O'Farrell, PA-C
Addendums
Addendum to Policy, Procedures, and Consents, Informed Consent for Telehealth Services
COVID-19 Practice Updates
COVID Instructions for Contacting Office Prior to Appointment
COVID Precautions
Informed Consent for In-Person Services
White Marsh Psychiatric Associates, LLC, will protect and keep confidential your personal health information. Information will be released if you sign a consent authorization. We will obtain your consent to disclose your personal health information to carry out health care operations and treatment, and to obtain payment (that is, verifying your benefits with your insurance carrier.) A separate authorization is required for any use or disclosure of psychotherapy notes. In order to protect your privacy, your prescription may be sent with encrypted technology via the internet to your pharmacy.
Your records can be released without your permission under the following circumstances:
Also, our prescribers participate in a health information exchange, the Chesapeake Regional Information System for our Patients (CRISP), to facilitate the secure exchange of certain electronic health information between and among several health care providers or other health care entities, to better coordinate your overall health care.
You can opt out of participation with this health information exchange and disable access to your health information available through the CRISP by calling 1-877-952-7477 or by completing and submitting an Opt Out form to the CRISP by mail, fax, or through their website, www.crisphealth.org. Public health reporting and Controlled Dangerous Substances information, as part of the Maryland Prescription Drug Monitoring Program (PDMP), will still be available to providers.
You have a right to review your medical record and to receive an accounting of the disclosures made. Disclosures to insurance companies about payment, treatment, or health care operations are not required in this list of disclosures. You will be charged for photocopying, mailing, and preparing summaries, if those are needed.
You can add an addendum to correct your medical record if necessary. This addendum will be written on our Patient Medical Record Addendum form and will be attached to your original record.
If you have reason to believe your personal health information has been disclosed without protecting your rights under the law, you have the right to file a complaint verbally or in writing, without risk of retaliation, to the Practice Manager, White Marsh Psychiatric Associates, LLC, 5024 Campbell Blvd., Suite H, Baltimore, MD 21236; 410-931-9280.
Final decisions will be given by the White Marsh Psychiatric Associates Privacy Officer. You may contact the Secretary of the Health and Human Services in Washington DC. We have a right to revise our Notice of Privacy Policies. The revisions will be printed for your review.
WMPA is taking the following precautions to protect our patients and help slow the spread of the coronavirus and is in effect during the pandemic.
Please contact the office before coming in if you have:
National Institute on Mental Health
National Alliance on Mental Illness
