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Home » For New & Prospective Clients » Request an Appointment

For NEW Clients

Request an Initial Appointment

Thank you for choosing Orchard Mental Health Group. There are many ways to get started with us! If you wish to speak with our admin staff, please call 240-750-6467, or email appointments@orchardmentalhealth.com.

For answers to common questions, see our FAQ section.

Initial Appointment Request

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This form will assist us in obtaining necessary information to begin our appointment request process. Please complete it with as much information as possible, and we will reach out to you to schedule your initial consultation.

For which Service(s) would you like to request an appointment?(Required)

Psychotherapy/Counseling

Medication Management

Testing

*Please note that for Psychological Testing/Evaluations, we are currently only in-network with CareFirst/BCBS.

For whom are you looking for services?(Required)

Your Name (Primary Contact's Name)(Required)

First Last

Relationship to Client(Required)

Client's First Name(Required)

Client's Last Name(Required)

Client's Middle Initial

Client's Age(Required)

Client's Date of Birth(Required)

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Mobile Phone Number(Required)

Contact Phone Number

If different from Mobile Number

Contact Email(Required)

This field is required for online form submission.

State of Residence(Required)

Insurance Provider(Required)

If "Other," please specify(Required)

Reason for Appointment Request(Required)

Preferred Appointment Time(s)(Required)

Morning (7am-12pm)

Afternoon (12pm-5pm)

Evening (5pm-8pm)

Any time of day

Please note that appointments for children, and any requests for timeslots after 5PM EST have a longer waitlist time.

Preferred Appointment Location(s)(Required)

Virtual Visits

In-Person: Frederick, MD

In-Person: Rockville, MD

Please select all that apply.

Consent for OMHG to reach out via(Required)

Email

Phone Call

Text Message

Please select all that apply. We will use the information provided on this form.

How did you hear about Orchard Mental Health Group?(Required)

Who referred you?

Please provide the person's name or the name of the referring practice.

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Current Availability

Note: we are careful to balance our clinicians’ caseloads for the purpose of maintaining a high standard of care. Due to their existing mix of patients on our caseloads, there are certain ages and types of cases that may not be a fit at a given time.

See Current Availabilty

From the moment I connected with [Orchard Mental Health], I felt at home. Appointment setting was easy. They made me comfortable from the start. Although I haven’t met all the therapists, I can tell you the ones I know are trustworthy, smart, and can get to the heart of the problem (with solutions!) quickly. What is good to know also is that they not only provide counseling, they do testing and can manage medications if need be. Highly recommend.

I cannot put into words how much working with Sarah has impacted my life. She has helped me so much to grow into a version of myself that I value. She has really helped me get through these pandemic times and also served as a mentor.

Dr. Archer is amazing. I finally found a therapist that I vibe with and just gets it. She’s very professional, knowledgeable and most importantly she LISTENS! I was a previous patient and just recently returned to this practice.

Mary, the scheduler/administrative worker was so kind, professional, proactive, and empathetic. I could not be more appreciative of her active listening skills, compassion, and willingness to help me.

Dr. Snow is a very kind and professional psychiatric provider.

I love working with Genevieve. She is supportive and a very nice therapist.

I am very satisfied with my clinician. She has helped me greatly in solving my anxiety and PTSD issues. There is always stress in my life. But, with the right tools, it’s possible to understand and cope. My clinician provides that for me.

Read More Feedback

Know someone who could use our help?

We Gladly Take Referrals

Jenkins, Dawn PMHNP | Orchard Mental Health Group

Karina Tuohy, Psy.D.

Licensed Psychologist



Individual Therapy
Family Therapy



Virtual Visits



Children (6-12)
Adolescents (13-18)
Adults (18+)



Specializes in working with individuals who have experienced trauma

Gibson, Sarah Burkey, PMHNP | Orchard Mental Health Group

Candice Tyson, LGPC

Licensed Gradutate Professional Counselor



Individual Therapy



Virtual Visits



Adolescents (13-18)
Adults (18+)
Older Adults (65+)



Specializes in working with LGBTQ+ communities

Temitope Adedapo, PMHNP | Orchard Mental Health Group

John Volpe, LCPC, NCC

Licensed Clinical Professional Counselor, Board Approved Clinical Supervisor, Director of Therapy Training



Individual Therapy
Family Therapy

In-Office: Rockville, MD



Virtual Visits



Children (6-12)
Adolescents (13-18)
Adults (18+)

Jenkins, Dawn PMHNP | Orchard Mental Health Group

Julia Williams, LMSW

Licensed Master Social Worker



Individual Therapy



Virtual Visits



Adolescents (13-18)
Adults (18+)

In-Office: Rockville, MD



Specializes in behavioral health

Ziyi Wu LGPC

Ziyu "Winnie" Wu, LGPC

Licensed Gradutate Professional Counselor



Individual Therapy
Family Therapy
Couples Therapy
Group Therapy

In-Office: Rockville, MD



Virtual Visits



Children (6-12)
Adolescents (13-18)
Adults (18+)
Older Adults (65+)



我会说普通话!

We accept many major insurances.

In crisis or need immediate help?
Call 988 or go to your nearest ER.

Services

Adolescent Psychotherapy
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*Varies by service

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Contact Us

M-F, 9am-5pm Eastern Time
Phone: 240-750-6467
Fax: 240-912-7835
contact@orchardmentalhealth.com

9707 Key West Avenue, Suite #100 Rockville, MD 20850

10 North Jefferson Street, Suite #202 Frederick, MD 21701

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contact@orchardmentalhealth.com | © Copyright Orchard Mental Health Group 2025

We’re all about convenience! If you are a current client with us, you can now schedule, cancel, and reschedule appointments through your AdvancedMD Patient Portal.

Sign In to AdvancedMD

Please be aware that we do have a 48-business-hour cancellation policy. For a full list of our current cancellation/no-show fees, please visit our Billing Page
***Are you in crisis or in need immediate help?
Please call 988 or go to your nearest ER.***

You may also fill out this form if you wish to cancel and reschedule your existing appointment.

Alternatively, during business hours you may call us at 240-750-6467.

Cancel/Reschedule an Appointment

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Whose appointment are you cancelling/rescheduling?(Required)

Your Name(Required)

First Last

Client's Name(Required)

First Last

Contact Email(Required)

Contact Phone Number

What type of Appointment are you cancelling?(Required)

Who was the appointment with?

If you don't know your clinician's name, please leave this blank.

Would you like to reschedule?(Required)

You may request a new appointment using this form.

Therapy/Counseling Acknowledgement of Fees(Required)

I understand that if I cancel less than 48 hours before my scheduled appointment, a $125 fee will apply.

I understand that the 48-hour notice window excludes Fridays after hours, as well as weekends.

I understand that insurance does not cover cancellation fees.

We charge a fee because whenever a session is canceled without adequate notice, we are unable to fill this time slot by offering it to another current client, a client on the waitlist, or a client with a clinical emergency.

First-Time Medication Management Acknowledgement of Fees(Required)

I understand that if I cancel less than 48 hours before my scheduled appointment, a $150 fee will apply.

I understand that the 48-hour notice window excludes Fridays after hours, as well as weekends.

I understand that insurance does not cover cancellation fees.

We charge a fee because whenever a session is canceled without adequate notice, we are unable to fill this time slot by offering it to another current client, a client on the waitlist, or a client with a clinical emergency.

Follow-Up Medication Management Acknowledgement of Fees(Required)

I understand that if I cancel less than 48 hours before my scheduled appointment, a $100 fee will apply.

I understand that the 48-hour notice window excludes Fridays after hours, as well as weekends.

I understand that insurance does not cover cancellation fees.

We charge a fee because whenever a session is canceled without adequate notice, we are unable to fill this time slot by offering it to another current client, a client on the waitlist, or a client with a clinical emergency.

Testing/Evaluation Cancellation Acknowledgement of Fees(Required)

I understand that if I cancel less than 48 hours before my scheduled appointment, a $400 fee will apply.

I understand that the 48-hour notice window excludes Fridays after hours, as well as weekends.

I understand that insurance does not cover cancellation fees.

We charge a fee because whenever a session is canceled without adequate notice, we are unable to fill this time slot by offering it to another current client, a client on the waitlist, or a client with a clinical emergency.

Original Appt. Date(Required)

MM slash DD slash YYYY

Time of the Appointment (Eastern Time)

HH

:

MM

AM/PM

If you don't remember, you can leave this blank.

Reason for Cancelling/Rescheduling

Reschedule an Appointment

Please note that our team cannot guarantee your preferred time/date. We will try our best to accommodate. Our scheduling team will be in touch with you ASAP.

Preferred Date(Required)

MM slash DD slash YYYY

Preferred Time (Eastern Time)

HH

:

MM

AM/PM

Preferred Location(Required)

Please note that our in-office clinicians may only take visits at their designated office.

Scheduling Acknowledgement(Required)

I understand that my preferred appointment date/time is not guaranteed, and that OMHG will contact me to confirm my appointment.

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We’re all about convenience! As a current client with us, you can now schedule, cancel, and reschedule appointments through your AdvancedMD Patient Portal.

Sign In to AdvancedMD

Please be aware that we do have a 48-business-hour cancellation policy. For a full list of our current cancellation/no-show fees, please visit our Billing Page
***Are you in crisis or in need immediate help?
Please call 988 or go to your nearest ER.***

You may also fill out this form if you are a current client, and wish to schedule your next appointment.

Alternatively, during business hours you may call us at 240-750-6467.

For Current Clients: Schedule an Appointment

Comments

This field is for validation purposes and should be left unchanged.

Do we have your/the client's insurance information and signed consent forms on-file?(Required)

If you are unsure whether your information is on-file, please enter your contact information, so we can confirm with you. If you are a new client, please use our Initial Appointment Request Form. Thank you!

Request an Appointment

Welcome back! Before we get started, we may need to confirm that we have your info on file...

Who are you scheduling this appointment for?(Required)

Your Name(Required)

First Last

Client's Name(Required)

First Last

Contact Email(Required)

Contact Phone Number

Acknowledgement(Required)

By checking this box, I consent to be contacted by OMHG regarding client status and for scheduling purposes.

Thank you for starting this journey with OMHG.

This appointment scheduler is for returning clients. As a new client, there are additional details you will need to submit to help OMHG get you started. Please use our Initial Apppointment Request Form. Thank you!

Request an Appointment

Welcome back!

Who are you scheduling this follow-up appointment for?(Required)

Your Name(Required)

First Last

Client's Name(Required)

First Last

Contact Email(Required)

Contact Phone Number

What would you like to schedule?(Required)

With whom are you scheduling?

If you don't have a preferred clinician, please leave this blank.

Have you scheduled with them before?

Preferred Date(Required)

MM slash DD slash YYYY

Preferred Time (Eastern Time)

HH

:

MM

AM/PM

Preferred Location(Required)

Please note that our in-office clinicians may only take visits at their designated office.

Additional Details

Scheduling Acknowledgement(Required)

I understand that my preferred appointment date/time is not guaranteed, and that OMHG will contact me to confirm my appointment.

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Orchard Mental Health Group is happy to accept referrals!

Referral Form

Comments

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Your First Name(Required)

First

Your Last Name

Last

Email(Required)

Age(Required)

Insurance (if applicable)

Contact(s)

In order for us to reach out to them, we will need your referral's name, as well as any contact info you can share. You can list multiple people, if you would like!

Their Name

Their Phone Number

Their Email

Additional Info

You can tell us more about the individual(s), what service(s) you're recommending them for, or even just ask us a question!

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We thank you for taking an active role in someone’s mental well-being, and for helping us grow.