We recommend that you arrive 10-15 minutes prior to your scheduled appointment to ensure that you have enough time to complete any necessary paperwork. Please be sure to bring your photo ID and insurance cards.

New Patients

If you are a new patient to our practice please print, complete and bring with you the set of forms listed below:

• Demographics 2021
• Health History 2021
• Medicare Advanced Beneficiary Notice of Noncoverage (ABN)
• Waiver / No Insurance Waiver (as appropriate)
• Medicaid Waiver (if applicable)
• Minor Consent to Treat Waiver (if applicable)

Existing Patients

If you are an existing patient but have not seen our doctors in last two years please print, complete and bring with you the following form:

• Patient Health History

To request a copy of your medical records, please complete the following form and fax to 301-718-4522

• Medical Records Release Form 2020

SMART New Patient Paperwork

• Commercial Ins. New Patient 2021
• Carefirst/BCBS Insurance New Patient
• Medicare Insurance New Patient Packet
• Credit Card Authorization for Minors
• Medicare Assignment of Benefits
• Telehealth Consent