PDF Forms To Download
Preparation for Annual Exam
Patient Registration
Patient Medical History
Communication Authorization
Authorization to Treat

NEW PATIENTS

As you prepare for your visit, please review this information and download and complete the following forms: patient registration, personal medical history, communication authorization, and authorization to treat. Bring the forms with you to your visit or fax them to the attention of Christine Wynne PA-C at 202-293-0289.
 

SITE MAP  /  CONTRACT  /  PRIVACY POLICY  /  2021 K STREET, NW, SUITE 512  WASHINGTON, DC  20006  /  (202) 785-8041