Carroll County Youth Service Bureau

Client Forms

After receiving your appointment date and time, you may start preparing for your first visit. Below are a list of programs and a link to intake forms specific to that program. Open the link, print the forms and complete the forms by writing your responses to the fields using blue or black ink. Please wait to sign and date the forms when you meet with your therapist for the first time during your first appointment.

Brief Strategic Family Therapy (BSFT) Click here for BSFT Forms

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Contact Information

59 Kate Wagner Road
Westminster, MD 21157
(410)848-2500
aluchini@ccysb.org


Mon-Thurs 8:30am to 8:00pm 
Fri 8:30am to 4:00pm
Sat 9:00am to 3:00pm 
(by appointment only)


We are a smoke and tobacco-free campus.


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CCYSB