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Montgomery Endocrinology, LLC

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New Patient Forms and Instructions
 
  1.  New Patient Registration - Please click to print the new patient forms to bring to the appointment.

 

 

We are only located at 50 West Edmonston Drive, Suite 600, Rockville, MD 20852. (We have moved from suite 303 to 600.)

We no longer have an office in Silver Spring.

 

Please bring the following to your initial appointment along with the Registration:

 

- Photo ID

- Insurance Card

- Medication List

- Latest bloodwork with the lab test associated with your condition

- Any radiology reports (images not needed) associated with your condition.
- Any surgical reports related to your condition (thyroidectomy/thyroid removal, etc.)

 

To make your appointment run as smoothly as possible, we ask that you fax the radiology report and blood lab reports ahead of time so we may better prepare for your visit.
If you do not have the reports, please ask your doctor to fax them to us at (301) 251-7703 or email attachments to mmannan@montgomeryendo.com.
If we do not have the above listed at the time of your appointment, we may ask you to reschedule.

 

Parking

There is available parking on either side of the building as well as additional parking across the street, behind the MMT bank.

 

Cancellation Policy

We understand that emergencies and special needs can occur, we request that should you need to cancel or reschedule an appointment that we require at least 24 hours in advance notice and have the right to charge $50 for a "no show/late cancellation"  fee. Please see our office policy regarding cancellations.

 

Payments

Please be advised that copayments and deductables are due at the time of service. We accept cash and credit cards(visa or mastercard) ONLY. No checks are accepted.

 

Patient Privacy
HIPAA Privacy Rule