DBT Program Application

FFCP’s DBT Program is currently full and we are temporarily not accepting any new applications due to our extensive waitlist. If you wish to be placed on the waitlist, please fill out our regular referral form below and indicate a desire for DBT. 

Referral Form

New Patient Referral Form
  • If legal custody has been determined by the courts, we are required by MD law to obtain a copy of the court order.
  • Referral Information
  • This field is for validation purposes and should be left unchanged.