Montgomery Perinatal Program

How to Apply

Fax or email this form to:

Silver Spring Fax: 240-777-3054  [email protected]
Germantown Fax: 240-777-4648  [email protected]

Eligibility Requirements

Program targets pregnant and families with newborns.  
Targeted Risk factors include:
Pregnant Adolescents
Late entry into Prenatal Care
Pregnant person with Chronic Health Conditions
First Pregnancies
Prior Pregnancy Loss
Pregnant person experiencing depression or other behavorial health concerns
Pregnant person at risk for violence, emotions, sexual or physical abuse
Pregnant person with health related social or financial needs (lacks housing, food, transportation, utilities)

Documents to Bring

Proof of Maryland Medicaid or lack of insurance.  Must live in Montgomery County and be pregnant or postpartum.

Fees and Payments


Frequently Asked Questions

1. When will I hear back?
Once a referral is received a public health nurse will contact you to set up home visits.  

Additional Information

There is no Additional Information at this time.