- Forms

Forms

Weight Loss Registration Form

Primary Care Registration Form for New Patients

P. G. County Public Schools Sports Clearance Form

Permission to Treat

Blood Sugar Log

Blood Pressure Log

Charles County Public Schools Sports Clearance Form

Medical Orders of Life Sustaining Treatment (MOLST)

Adult Health History Form

Pediatric Health History Form

Hours of Operation:

Monday to Friday
5:15 p.m. -8 p.m.

Saturdays
8:30 a.m.- 2:30 p.m.

All Body Contouring & Weight Loss Assistance Visits Require an Appointment
Walk-In Visits Are Reserved for Primary Care Patients Only