Premier Health Express - Lightbox - PROO

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OFFICE HOURS:
Monday to Saturday
10 am - 10 pm

Call us: 443-899-9525

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Forms

ENGLISH

PATIENT REGISTRATION
CONSENT TO TREAT
ACKNOWLEDGMENT OF RECEIPT OF NOTICE OF PRIVACY OF PRACTICES
AUTHORIZATION FOR RELEASE OF MEDICAL RECORDS

ESPAÑOL

REGISTRO DEL PACIENTE
CONSENTIMIENTO PARA TRATAMIENTO
RECONOCIMIENTO DE RECIBO DEL AVISO DE PRIVACIDAD DE PRÁCTICAS
AUTORIZACIÓN PARA LA DIVULGACION DE REGISTROS MÉDICOS

LOCATIONS

COLUMBIA, MD

9710 Patuxent Woods Dr., Suite 200
Columbia, MD 21046

Open Monday to Saturday
10 AM to 10 PM

CAMP SPRINGS, MD

4821 Allentown Road

Camp Springs, MD 20748

DUE TO COVID-19 WE ARE OFFERING
ON-LINE APPOINTMENTS ONLY

OXON HILL, MD

5474 St. Barnabas Road

Oxon Hill, MD 20845

Open Monday to Saturday
9 AM to 9 PM

SUNDAYS TELEMEDICINE ONLY

FOR ANY LOCATION CALL US TO MAKE AN APPOINTMENT AT 443-899-9525

fax: 833-261-4342

info@premierhealthexpress.com

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