Md. Code, Human Services § 5–5B–05

(a) An application for assistance under this subtitle shall be made:

(1) to the local department of the county where the applicant resides; and

(2) in the form and manner that the Administration requires.

(b) An application for assistance under this subtitle shall include a medical form that:

(1) contains the name and estimated duration of the applicant’s impairment; and

(2) is signed by a licensed health care provider.