Here is a list of forms you will need to complete upon retaining my services.
This document gives me information about your child, their history, and their current condition.
Service AgreementThis document contains important information about my professional services and business policies. Please read it carefully and bring any questions you have to our next meeting.
Insurance Preferred Provider with BCBS Plans: Blue Choice, GHMSI and CareFirst Of MD. Please check your membership card for eligibility.
HIPAA FormThe Health Insurance Portability and Accounting Act (HIPAA) is a federal law that provides privacy protections and patient rights with regard to the use and disclosure of your protected health information (PHI).