For more extensive services (other than Family Support or Respite Care) you'll need to complete BARC's Application for Services.

Download BARC's Application for Services (You will need Adobe Acrobat Reader to view and print this form. Download Acrobat Reader.)

Or, you can contact our Admissions Department at 410-296-2273 or mpetrik@baltimorearc.org to obtain the form.

Send the completed form to:
Mary Petrik
BARC
7215 York Road
Baltimore, MD 21212-4499

Note: You will also need to fill out the Developmental Disabilities Administration application. The Developmental Disabilities Administration's application is not available online. You'll need to contact BARC's Admissions Department at 410-296-2272, ext. 5153 or mpetrik@baltimorearc.org. You can also call DDA directly at 410-902-4500.

BARC intake workers can assist you in completing these applications and can come to your home if necessary. We also have staff who speak many different languages to assist non-English speaking individuals.