After filling out required forms, please download and submit using “Submit Forms” button.
Demographic Forms
Please complete the Patient Demographics forms prior to coming to your first appointment. Please bring completed forms with you on your first visit. We request that you arrive 30 minutes prior to your appointment time on your first day to ensure that we have all paperwork necessary for your appointment. Be sure to bring your driver's license and insurance card with you, along with any referral, authorization, hospital discharge paperwork, or post-surgical paperwork. Please bring any surgical reports or other documents you have from your doctor.
Patient Information
Please see our Patient Information form. This contains important information about our office and our policies.
Patient Privacy Forms
Other Important Forms
Please see our Patient Privacy Practices. We ensure that you and your loved one will get the care you need and the privacy you deserve. We take your privacy very importantly, and uphold all HIPAA practices in our office
INSURANCE
We make dealing with insurance as-easy-as possible. Below is a partial list of the insurance providers we accept. Call today to see if we participate with your insurance carrier.
Aetna (HMO & PPO / POS)
Alliance
BC/BS Federal
BC/BS Maryland
BC/BS National Capital Area
Capital Care
CareFirst Blue Cross/BlueShield
Cigna
Evergreen
GEHA
GHMSI
Great West
Health Keepers
Humana
Kaiser Permanente
Johns Hopkins
MAMSI
MD-IPA
Medicaid/Medical Assistance
(up to 20 yrs)Medicare
One Health Plan
Optimum Choice
Optum Health
Personal Injury Protection (Auto/PIP)
Priority Partners
PHCS
Potomac Physicians
Tricare / Tricare Prime
United Healthcare
Worker’s Compensation
Memberships, Resources & Recognition
We hold membership in the following either collectively as an organization or individually among our staff:
APTA, AOTA, ASHA,
Over the years, we have worked with many wonderful organizations, and we would love to share information about them with you.
We are honored to be recognized as a "Favorite Doctor" by Chesapeake Family Life