New Patient Waiting List

New Patient Waiting List

Currently we have a new patient waiting list. We ask that you complete this form to be placed on our waiting list and we will return your request via email or phone.

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Name
Example: Carefirst, Cigna, Medicare, Self-Pay
Ex: AARP, DC Medicaid, Carefirst, Cigna, Medicare, Self-Pay
Primary Medical Insurance
Do you have Medicare?
What type of Medicare do you have?
Our office will be closed on 6/19/24 in observance of Juneteenth National Independence Day.
We will resume office hours on Friday 06/21/24.