Office Map and Parking

Fees and Office Policies

If you are a new patient, please complete the following forms and bring them to your first session or fax (202-223-8531) or e-mail ([email protected]) them prior to the appointment:

Self Assessment

Patient Information Sheet

E-mail Informed Consent (for those patients who wish to communicate by e-mail)

  Complete this form to authorize communication with other clinicians and/or other individuals with whom you wish your medical information to be shared:

Release of Medical Records/Information Form

  For current patients, please be sure that we have the most accurate information contained on the following forms:

Patient Information Sheet

Medical Update Form

Credit Card Payment Authorization Form (for those patients who wish to provide this form of payment)

  For patients who have Medicare Part B, please complete the Medicare Opt Out Agreement:

Medicare Opt Out Agreement  

Note: To download Adobe Acrobat Reader for free, click here.