Add a Listing

To add a new listing, please complete the form below. Currently, we are only accepting submissions for the program service types listed below. Following submission of this form, your organization may be contacted by the University of Maryland, College Park for further clarification. If you have an existing listing on our site and would like to edit the information displayed, please visit our Update a Listing page.

We encourage you to complete as much of the form below as possible so that other providers and individuals in the community will be able to easily identify the services offered by your organization.
Please note that any fields that do not apply to your program or organization may be left blank.


Please indicate the direct services that your agency provides (Check all that apply):
and Treatment Providers






















Payment Options (Check all that apply):



(Medicaid)


Does your agency specialize in serving any of the following population(s)? (Check all that apply):















Does your program provide specialized services for individuals diagnosed with Post-Traumatic Stress Disorder (PTSD)?

Are your services offered statewide and available to all Maryland residents, regardless of their residency? (NOTE: An agency/program would NOT be considered a statewide service provider if their services are only available to individuals that live in particular zip codes or counties.):


If no, please indicate residency requirements to receive services:

Are there any other admission criteria or specific requirements for individuals to receive services at your program (Specify):

Does your organization offer any specialized programs or services such as..(Check all that apply):




If yes, please specify languages offered:

Does your program offer on-site child care for participants?

Is your program accessible by public transportation?

If YES: Which bus or rail lines are accessible to your location?

Is your program site accessible to persons with disabilities?



For Substance Abuse Treatment Programs Only

Drug Treatment Type (Check all that apply):








For Buprenorphine Certified Physicians and Treatment Providers Only

Are you currently prescribing buprenorphine to opioid dependent patients?

For Support Groups Only

Support Group Type (Check all that apply):








For HIV/STD Testing Sites Only

Services Offered (Check all that apply):




For Victim Services Programs Only

Victim Services Type (Check all that apply):









Does your organization offer any of the following services? (Check all that apply):


For Housing Programs Only

Housing Type (Check all that apply):




In addition to the population groups specified above, which of the following populations can you accomodate at your housing facility?


Is this an inclement weather shelter?

For Food Assistance Programs Only

Services Offered (Check all that apply):





For Family Assistance Programs Only

Services Offered (Check all that apply):






For Job Readiness/Employment Programs Only

Services Offered (Check all that apply):




For Adult Education Programs Only

Services Offered (Check all that apply):








For Health Services Programs Only

Services Offered (Check all that apply):












For Mental Health Services Programs Only

Services Offered (Check all that apply):

(Please select this category only if your program provides assistance to anyone in the general public needing crisis response services)



Psychiatric Rehabilitation Program (PRP)


Case Management
Mental Health Vocational Program
Other Mental Health Services

For Other HIV/AIDS Related Care Services Programs Only

Services Offered (Check all that apply):




HIV Medical Expense/Medication Assistance
Housing Opportunities for People with AIDS (HOPWA) Program


The fields below are for internal purposes only and will not be published on the MDCSL.

*Required fields

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