Arthritis Care Specialists 
of Maryland

New Patient Intake Documents

All new patients must complete Intake Documents. Patients are asked to enter their medically relevant histories using the new computer linked pens while in the waiting room prior to your appointment. 
Please arrive 15 to 30 minutes ahead of your scheduled appointment so that you may complete the intake information and we may have time to upload it for the doctor to review with you. 


‚ÄčThe Patient Intake documents on this site are only to be used for Dr Hawkins-Holt and Dr Zan new patients, when instructed.

All New Patients Must Bring:
   -- your current active insurance card(s), 
   -- valid driver's license or legal photo ID, 
   -- written consult request from the referring doctor,  
   -- address, fax and phone for referring doctor and your primary care doctor (if different),  
   -- any medical records that you have that may be relevant to the reason for this consult.
   -- any radiographic imaging relevant to the reason for this consult.

 

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