Patient Forms

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Here we have provided the ability to pre-register in our scheduler. Be sure to let our staff know that you have completed the registration when you call to schedule your first appointment.

Call now to schedule; our staff will be happy to answer any questions 301-978-7730.

[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][imedica_ititle title=”1. Patient Registration” icon=”Defaults-th-list”][vc_column_text]You may complete your registration below and click the “Submit Patient Information” button. That will securely submit your information to us.

If you have already called our office to schedule your first appointment and provided this information to our staff, please do not complete this section as it will create a duplicate account in our scheduler.[/vc_column_text][vc_raw_html]

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[/vc_raw_html][/vc_column][/vc_row][vc_row][vc_column][imedica_ititle title=”2. Patient Intake Forms – including Medical History and insurance information” icon=”Defaults-th-list”][vc_column_text]All intake forms will be sent digitally to the email you provide at registration. If you have questions while completing these forms, please let our staff know and they will be happy to assist.

 

 

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