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 complete the applicable forms below:

• Demographics 2022
• Health History 2022
• Medicare Advanced Beneficiary Notice of Noncoverage (ABN) 2022
• No Insurance Consent (as appropriate)
• Medicaid Consent (if applicable)
• Minor Consent to Treat Waiver (if applicable)

Existing Patients

If you are an existing patient and have had a significant change in your health history please complete the following form:

• Health History 2022

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

• Medical Records Release Form

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