Make a Referral

We appreciate and value your interest in making a client referral to Leading by Example. By referring a client to our program, you have begun a relationship with a network of community servants that are committed to delivering the highest quality care and service.

It is our goal to make the referral and service initiation process as user friendly and efficient as possible. Therefore, we have provided you with 3 easy steps to making a referral below. In addition, we have included a referral form on this site that can be filled out electronically and emailed directly to our Office Manager. Finally we have included a list of things that you can expect after you have successfully referred a client to our program.

At this time we provide services to clients receiving Medical Assistance.

Steps to Making a PRP Referral

Step 1: Speak with client that you will be referring and inform them that you are making a referral on their behalf to Leading By Example for the specific services that you are requesting.

Step 2: Complete either a hard copy or electronic referral form with all necessary client information. Click Here: To Access and Electronic version of our Referral Form

Step 3: Fax referral form to Leading By Example FAX#: 410-780-2694

What you can expect after making a PRP referral

  • Once we have received your referral we contact you directly to thank you for entrusting us with your client, and to confirm that we received the referral.
  • Next, we contact the client or family to schedule a screening assessment.
  • Once the client is screened to ensure that they are an appropriate fit for our services, we will submit for authorization.
  • Client is submitted for authorization of service. This process usually takes 72 hours.
  • Once client is authorized for service we contact you within 24 hours to inform you that services have been authorized.
  • We then contact the client and family immediately to schedule an initial assessment. In addition client is matched to a Direct Service Worker who will be facilitating rehabilitation or behavior modification services directly.
  • Direct Service Worker will contact you to introduce their self and to ensure that you have their direct contact information.
  • After initiation of service, you will receive a monthly summary of your client’s progress with rehabilitation and/or behavioral goals.

Steps to Making a TBS Referral

Step 1: Speak with client that you will be referring and inform them that you are making a referral on their behalf to Leading By Example for the specific services that you are requesting.

Step 2: Complete either a hard copy or electronic referral form with all necessary client information. Click Here: To Access and Electronic version of our Referral Form

Step 3: Attach to the referral form the client’s most recent psychosocial assessment or psychological evaluation.

Step 4: Fax referral form and psychosocial assessment or psychological evaluation to Leading By Example FAX#: 410-780-2694 1 and to TBS Care Manager Value Options FAX#:1-887-502-1004

What you can expect after making a TBS referral

  • Once we have received your referral and the most recent psychosocial assessment, we contact you directly within 24 hours to thank you for entrusting us with your client, and to confirm that we received the referral.
  • Next, we contact the client and family to inform them that they have been referred for TBS Services.
  • We then submit the client’s information to value options for authorization for assessment. This process usually takes 48 hours.
  • Once client is authorized for an assessment we contact you to inform you that our client has been authorized for assessment. We then contact family to schedule an appointment for assessment.
  • Once the assessment is completed, we submit it to value options for authorization of service. Authorization for service generally takes 48 hours.
  • Once services are authorized, we contact the referral source and the family to inform them that they have been authorized for TBS service. Immediately following, A Therapeutic Behavioral Aide is assigned to the case.
  • Next, the Therapeutic Behavioral Aide contacts the family immediately to schedule an intake meeting and to execute the intake process. It usually takes 3 business days to schedule and complete the intake process.

"Be an Example of Positive Change"

Breakthroughs happen with the right help.