Update a Listing

The MDCSL is working hard to ensure the accuracy of its listings. Please review your organization's listing periodically (at least every 6 months) so that we can keep it up to date. If your listing is accurate, confirm your listing so that we can update our records.

If you need to update your organization's information, please complete the form below. Following submission of this form, your organization may be contacted by the University of Maryland, College Park for further clarification. If you require only minor edits to your listing, feel free to contact us by email at mdcsl@cesar.umd.edu or by phone at 301-405-9790.

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.

Attention HIV/AIDS, Victim, and Housing SERVICE PROVIDERS:

The MDCSL is working to add more detail to program listings for HIV/AIDS, Victim and Housing Services to help providers and individuals find the services they need. Please update your listing to expand the information available for your program. Please be sure to pay special attention to the NEW survey questions at the bottom of this survey which will allow you to more specifically describe the HIV/AIDS, Victim and Housing services provided by your organization. We would greatly appreciate your help in completing this short survey, which should take no more than 5-10 minutes.

Note: If you are providing a service that is not noted above, we invite you to submit your organization’s information using the form below. We will include as much information as provided. Specific questions addressing particular service areas not noted above will be added in the future.

Program service type (Check all that apply): Buprenorphine Certified Physicians Conflict Resolution/Mediation Department of Juvenile Services Offices Disability Services Family Assistance Programs Food Assistance Programs Health Services HIV/STD Testing Sites Other HIV/AIDS Related Care Services Housing Programs (Drop-in Centers, Shelters, Transitional Housing, etc.) Job Readiness/Adult Education Legal Assistance Mental Health Services Needle Exchange Programs Parks and Recreational Sites Parole and Probation Offices Primary/Secondary Public Schools Public Internet Access Sites Senior Citizen Resources Substance Abuse Prevention Programs Substance Abuse Treatment Programs (Certified) Support Groups Victim Services
Organization Name:*
Street Address:*
City:
County:
State:
Postal Code:*
Phone:*
After Hours Phone:
Fax:
Email Address:
Website Address:
Days/Hours of Operation:
Payment Options (Check all that apply): No fee Sliding Scale Medicaid Maryland Medical Assistance (i.e. MHIP, PAC) Medicare Private Insurance
Which of the following population(s) does your program serve? (Check all that apply): Females Only Males Only Children/Youth Adults Families Women and Children Women with Adolescent Males Men with Children Homeless Clients with HIV/AIDS Clients with Mental Illness Clients with Substance Abuse Issues Clients with Dual Diagnosis (Mental Health and Substance Abuse Issues) Clients with Developmental Disabilities Ex-Offenders Sex Offenders Other admission criteria (if any): characters remaining
Does your organization offer any specialized programs or services such as..(Check all that apply): Lesbian, Gay, Bisexual, Transgender Programs / Services for Same-sex Partners Veterans Programs Programs for Immigrants Multi-lingual Services 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?
Please include any additional descriptive information that you would like to include with your program entry here: characters remaining
*For Substance Abuse Treatment Programs Only* Drug Treatment Type (Check all that apply): Detox-Outpatient Detox-Inpatient Intensive/Standard Outpatient Low Intensity Residential (Halfway House) Short term Residential Long term Residential Medication Assisted (Methadone) Medication Assisted (Buprenorphine) *For Support Groups Only* Support Group Type (Check all that apply): 12 Step/Recovery Grief/Loss Health LGBT (Lesbian, Gay, Bisexual, Transgender) Mental Health Victim Other Please note that we are only listing the administrative locations for AA/NA/Al-Anon/Nar-Anon meetings and linking to their meeting schedules. Listings for 12 step meetings at individual agencies are not being accepted at this time (unless the 12 step meeting is not on the AA/NA/Al-Anon/Nar-Anon schedule). Please provide a brief description of the support group: characters remaining *For HIV/STD Testing Sites Only* HIV/STD Testing Services (Check all that apply): Anonymous Testing Rapid Testing Oral Testing Testing for other STDs *For Victim Services Programs Only* Victim Services Type (Check all that apply): Child Victimization Elder Abuse Dating/Domestic Violence Sex Crimes (i.e. Sexual Assault, Harassment) Attempted Murder/Homicide Robbery/Burglary Assault Other Violent Crime Nonviolent Crime Does your organization offer any of the following services? (Check all that apply): Programs for Male Victims Accompaniment Services for Victims If yes, please specify accompaniment services: *For Housing Programs Only* Housing Type (Check all that apply): Drop-in Center Emergency/Overnight Shelter Transitional Housing Supportive Permanent Housing Length of Stay: Fees (Specify): Are there any specific requirements for residents to stay at your housing facility (Specify): Is this an inclement weather shelter? If so, list approximate dates of operation: The fields below are for internal purposes only and will not be published on the MDCSL.
Contact Name:*
Contact Phone (if different):
Contact Email:
Other Notes:

*Required fields

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