FEEDBACK SURVEY

Do you have an idea to improve our services? Do you want to submit an idea or topic to include in our newsletter? We welcome your feedback as it helps us to improve our services. Part of creating the best behavioral health, rehabilitative, and substance use disorders treatment programs is listening to feedback from those with whom we serve. What matters to you is important to us. Please fill out this form and let us know of your ideas and suggestions. If you would like a response from us, please indicate it on the form. Thank you!

Comments
This field is for validation purposes and should be left unchanged.
This form is NOT to be used to discuss specific client clinical issues.
First name*
Last name*
Role
Phone
Email
Would you like a direct response to your feedback?
- Yes
- No
Please share your idea(s) or suggestion(s):*
Email Communication Informed Consent
I hereby authorize Beacon of Hope to contact me in reference to my feedback response(s). This authorization includes confidential, clinical, and administrative information. I understand unencrypted email could be read by a third party. Beacon of Hope may call and/or text the telephone number listed above. I accept full financial responsibility for all of the text message charges sent to the telephone number I provided. This informed consent goes into effect immediately and expires one year from this date or when I request it to end. Our administrative staff strives to respond in a timely manner to your inquiry. Please allow up to 48 hours or two business days for a response. Thank you.
I give informed consent.
CAPTCHA

Facility



Office Hours

Monday - Friday
9:00am - 5:00pm
Early morning, evening, and week-end appointments may be available by request.



Call us

(410) 685-2830



Located at

1721 Pennsylvania Avenue
Baltimore, MD 21217

Request Services



Call us

(410) 685-2830
Monday - Friday
9:30am - 4:30pm

Make a refferral

Appointment Request

(for current clients)

24-Hour Crisis Hotline

If you are experiencing a crisis or an emergency, please call our 24-Hour Hotline, day or night, 24 hours, 7 days a week.



Call us

(410) 685-2830 press 5

24-Hour Compliance Hotline

You may anonymously and confidentiality voice your concern by calling our 24-Hour Compliance Hotline.



Call us

(410) 685-2830 press 6