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Smyth Professional Office Building
5601 Loch Raven Blvd
Suite 303
Baltimore, MD 21239
(443) 444-3431
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Physicians Pavilion West
6569 N. Charles St.
Suite 701
Baltimore, MD 21204
(410) 512-8686
Maps & Directions
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DOWNLOADABLE FORMS
The forms listed below are in Adobe Acrobat
format and are meant for new patients to print,
complete, and bring with them to their
appointment. To expedite the registration process,
we included the forms on our site for you to fill
them out at home. If you have any questions,
please call our office
at (443) 444-3431.
ELECTRONIC FORMS
The secure electronic forms listed below have
been created for our patients & referring
physicians to communicate to our practice using
the website. These forms will be transmitted to
our practice over a secure network ensuring that
your personal information is safe.
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Secure Online Communication |
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DOWNLOADABLE FORMS
The forms listed below are in Adobe Acrobat
format and are meant for you to print, complete,
and bring with you to your next appointment. All
of our new patients must fill out each of these
forms on the day of their appointment. To
expedite the registration process. If you have
any questions, please call our office at (443)
44-3431.
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Medical History
Update (coming soon) |
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ELECTRONIC FORMS
The secure electronic forms listed below have
been created for our patients & referring
physicians to communicate to our practice using
the website. These forms are trasmitted over a
secure network to ensure that the information is
safe and unable to be intercepted by an
unauthorized party.
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Secure Online Communication |
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DOWNLOADABLE FORMS
The form listed below is in Adobe Acrobat
format and is meant for a referring physician to
print, complete, and send with their patient to
their appointment. Many insurances require that
patients obtain a referral from their primary care
physician in order to see a specialist. If this
is the case, please be sure to have the completed
form with you to your appointment. If you have
any questions, please call our office at (443)
444-3431.
ELECTRONIC FORMS
The secure electronic forms listed below have
been created for our patients & referring
physicians to communicate to our practice using
the website. These forms are trasmitted over a
secure network to ensure that the information is
safe and unable to be intercepted by an
unauthorized party.
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Secure Online Communication |
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Secure Online
Communication
Use this technology to safely send confidential
information such as facts about your health or
your social security number.
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