301-694-3200
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Registration

Registration

We are pleased that you have selected our practice for your surgical consultation. We pride ourselves on providing quality care and service to our patients.

For your initial visit you will need to bring your insurance card, photo ID, co-payment, and physician referral if applicable. Please print out and complete the appropriate Registration and Medical History form, Financial Policy and Authorization to Disclose Medical Information Form below and bring them with you to your appointment. Please arrive 30 minutes early for your appointment.

Registration Forms

If your visit is for a breast concern, you will need to complete the Breast Patient Questionnaire and bring ALL Breast Films related to the condition.

If you are unable to keep your appointment, please call at least 24 hours in advance so that the time reserved for you may be offered to another person requesting care. A $100 fee may be charged if you do not provide a 24-hour notice to cancel an appointment.

We look forward to seeing you soon. Please feel free to contact us at 301-694-3200 with any questions.