Contact
Dr. Rayna looks forward to hearing from you
The center provides a safe and confidential environment for individuals to address their concerns and work towards personal growth. Dr. Rayna is licensed in Maryland, Pennsylvania, and is PSYPACT credentialed. Some in-person services are offered in Gaithersburg, MD and telehealth services are offered in Maryland, Pennsylvania, Washington DC metro area, Virginia, and any PSYPACT participating states throughout the week.
Reach out
How to get in touch
rayna.markin@therapycenterpregnancyloss.org
Send a message
Phone
(301) 635-4606
Tap to call
Address
Quince Orchard Medical Park11904-F Darnestown Rd
Gaithersburg, MD 20878
In-person sessions by appointment
Intake Forms
Prepare for Your First Session
Download your first session forms to get started on your journey with us. Please print and complete these forms and return them with wet signatures to your therapist either in person at your first in-person appointment or via email prior to your first telehealth appointment.
Form 01
PDFInitial Interview
Background and intake questionnaire
Download PDF
Form 02
PDFSignature Packet
Required consents and acknowledgments
Download PDF
Form 03
PDFAuthorization For Release
Permission to share information
Download PDF
Form 04
PDFHIPAA Form
Privacy practices acknowledgment
Download PDF
Form 05
PDFOffice Policies
Practice policies
Download PDF
Form 06
PDFEmail Consent
HIPAA-compliant email communication
Download PDF
Form 07
PDFTelehealth Agreement
Videoconferencing session agreement
Download PDF
Begin when you're ready
Schedule your first consultation
Pregnancy loss can be a horrific and devastating experience that often leaves grieving parents feeling isolated and alone. Dr. Rayna is here to offer support, understanding, and comfort through your reproductive journey.