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New and Existing Patient Forms:

We want to welcome you to our office! Below are the necessary registration forms that must be completed prior to your appointment
in black or blue ink, NOT in pencil. Please bring these completed forms with you to your appointment. Also remember to bring your
insurance cards, referral (if required) and photo identification.

If your insurance company requires a co-payment, this is expected at the time of your appointment. Every new patient is allocated
one full hour of the physician's time. It is our policy to charge a $25.00 fee for not showing up for your appointment or
appointments not cancelled at least one business day prior to the scheduled time. This is the patient's responsibility and we
will not bill your insurance for this charge.

We accept most major medical insurance. Please contact our billing coordinator at (410) 308-4900 with any questions or concerns.

New Patients:

New Patients 65 Years of age and older:

Existing Patients:

All Patients: