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.
Please be sure to bring the following items to our office so that we can provide you with a more efficient registration:
- Your doctor’s written referral, if you have one.
- Your insurance referral, if required.
- All X-rays, CT scans, and MRIs. Please bring a CD/DVD with the actual images when possible.
- A list of all of your medications.
- All pertinent blood test results.
- Your insurance cards and identification.
- Your doctor’s name, address and phone number.
- Your completed patient registration forms, if you printed it at home.
You can pre-register and find online practice interaction tools on the patient portal.
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 forms need to be completed to update your personal and medical information.
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.
We perform surgeries at Rockville Surgical Suites, Medstar Montgomery Medical Center. Below are links to Pre-operative and Post-operative instructions as well as information about our facilities.
If you have already been scheduled for surgery and have additional questions or concerns, you may contact our surgery coordinator at 301-774-0074 option 2.
MGH HISTORY AND PHYSICAL FORM →
SURGERY CENTER HISTORY AND PHYSICAL FORM →
INSTRUCTIONS FOR GENERAL ANESTHESIA OR SEDATION FORM →
EAR SURGERY INSTRUCTIONS FORM →
PRE OP MEDICATIONS AND BLEEDING FORM →
TONSILLECTOMY INSTRUCTIONS FORM →
ADENOIDECTOMY INSTRUCTIONS FORM →
NASAL AND SINUS SURGERY FORM →
