301-774-0074

Patient Information

Please review the following to prepare you for your appointment and to be sure we get the most out of our time together.

What to Bring to Your Appointment

Please be sure to bring the following items to our office so that we can provide you with a more efficient registration:

  1. Your doctor’s written referral, if you have one.
  2. Your insurance referral, if required.
  3. All x-rays, CT scans, and MRIs. Please bring the actual scans.
  4. A list of all of your medications.
  5. All pertinent blood test results.
  6. Your insurance cards and identification.
  7. Your doctor’s name, address and phone number.
  8. Your completedd patient registration forms, if you printed it at home.

You can pre-register and find online practice interaction tools on the patient portal.

PATIENT PORTAL

Patient Registration Forms

Below are links to our registration forms. Completing these forms prior to your visit will help expedite your registration process. If you have not been seen in the last calendar year, all five forms need to be completed to update your personal and medical information.

CONDITIONS OF REGISTRATION FORM →

PATIENT HEALTH HISTORY FORM →

SOCIAL & PAST MEDICAL HISTORY FORM →
(not needed if completed on Portal)

DISCLOSURE FORM →

MINOR PROCEDURE FORM →

Insurance and Fees

Our practice participates in Medicare, Blue Cross and most major HMO’s and PPO’s. If your insurance requires a referral, it is due at the time of your visit. We will submit claims for the services rendered to the insurance company for you. You will be responsible for services not covered by insurance or any balance after the insurance company has made payment. Copayments are due at the time of service. If you receive a bill and you have questions, please contact our billing office at 301-565-2250. Our billing manager will be happy to answer any questions you may have.

PARTICIPATING INSURANCES

Having Surgery?

We perform surgeries at Medstar Montgomery Medical Center and the Montgomery Surgery Center. Below are links to Pre-operative and Post-operative instructions as well as information about the three facilities.

montgomerygeneral.com
montgomerysurgery.com

Medstar Montgomery Medical Center Brochure
Montgomery Surgery Center Brochure

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