Patient Information
Office Policies
Message to all HCCLSM patients
New Patient Forms
You may print and complete the forms below in order to make your office visit run smoothly and to save you and our staff time.
After you have completed them, bring them with you to your visit or fax them ahead of time to
(410) 740-3635.
Print out the forms below and keep for your files.
Adobe reader may be required to view the files above.
Frequently Asked Questions
-
Please contact our office to determine an appointment time that is convenient for you.
-
Please arrive 30 minutes before your appointment to fill out the
necessary paperwork (
see our Forms Page). Your visit may take up to 90 minutes. Occasionally, delays do happen. As always, we will do everything we can to make sure that your visit runs smoothly and on time.
-
In order to be seen you will need to bring the items listed below.
If you do not have the required documents on the list or your co-pay, we will not be able to see you and will need to reschedule your appointment.
- If a new patient, please bring completed forms
- Insurance card
- Photo I.D.
- Social Security number
- Co-pay
If Applicable:
- Recent pulmonary function tests
- Physician referral
- Recent radiology films of the chest
- Recent sleep study reports
You can also print and complete forms to bring with you to your appointment from our Forms page in order to save time while at the office.
-
In most cases of inclement weather our office will remain open. If you are unsure if you should come into the office, please give us a call at (410) 740-3635. In the event that our office is closed, we will have this update on the automatic phone recording. We will give you a call to reschedule your appointment as soon as possible.
-
As a patient, you have certain rights and certain responsibilities. A respectful relationship between a healthcare provider and patient is the foundation of proper medical care. (Copies of this statement are also posted in our patient care waiting areas.)
A Patient Has The Right To:
- Seek a second professional opinion regarding health care and treatment.
- Receive a prompt and reasonable response to questions and requests.
- Know who is providing medical services and is responsible for his or her care.
- Ask about reasonable alternatives to care.
- Receive accurate information such as diagnosis, planned course of treatment, alternatives, risks, and prognosis of an illness or health-related concern.
- Refuse any treatment, except as otherwise provided by law.
- Participate actively in decisions regarding one’s health care and access to treatment.
- Accessible information regarding the scope and availability of service.
- Request prior to treatment a reasonable estimate of charges for medical care.
- Receive a copy of an understandable itemized bill and, if requested, to have the charges explained.
- Receive medical treatment or accommodations, regardless of race, national origin, religion, handicap, or age as the practice is able to accommodate.
- Know if medical treatment is for purposes of experimental research and to give his or her consent or refusal to participate in such research without compromising access to medical care and treatment.
- Express complaint regarding any violation of his or her rights.
- Be informed about any legal reporting requirements regarding any aspects of screening or care.
A Patient is Responsible For:
- Giving the health care provider accurate information about present complaints, past illnesses, hospitalizations, medications, and any other information about his or her health.
- Reporting unexpected changes in his or her condition to the health care provider.
- Reporting to the health care provider whether he or she understands a planned course of action and what is expected of him or her.
- Following the treatment plan recommended by the health care provider.
- Keeping appointments and, when unable to do so, notifying the health care provider or facility.
- His or her actions if treatment is refused or if the patient does not follow the health care provider’s instructions.
- Making sure financial responsibilities are carried out.
- Following health care facility rules and regulations.
- Using prescription or medical devices for oneself only.