• Skip to primary navigation
  • Skip to main content
  • Skip to footer
  • Facebook

12 locations in:

  • Maryland
    • Bethesda, MD
    • Chevy Chase, MD
    • Germantown, MD
    • Montgomery Village, MD
    • Shady Grove Road: Rockville, MD
    • Medical Center Office: Rockville, MD
    • Silver Spring, MD
  • Washington DC
    • L Street, Washington DC
    • U Street, Washington DC
    • Woodley Park, Washington DC
  • Virginia
    • Arlington, VA
    • Ashburn, VA
Comprehensive Primary Care

Comprehensive Primary Care

Providing Quality Healthcare for You & Your Family

(301) 869-9776

Appointments Patient Portal Telemed
  • About
  • Our Providers
  • Services
  • Patient Resources
    • Appointments & Scheduling
    • Insurance & Payments
    • Medical Records
    • Medication Refills
    • Patient Forms
    • Patient Portal Policy and Procedures
    • Patient Success Stories
    • Referrals
  • Blog & News
  • Locations

Patient Forms

For your convenience, you may download and print our Patient Forms and complete prior to your appointment. Each form is a PDF document that can be viewed with Adobe Acrobat Reader

Download Adobe Acrobat Reader

For service in Washington, DC, please complete: 

  • Authorization Release of Private Health Information
  • Consent to Obtain External Prescription History
  • Controlled Substance Prescription Agreement
  • Medical Record Release
  • New Patient Registration
  • Notice of Privacy Practices
  • Patient Information Update

For service in Maryland and Virginia, please complete:

  • Authorization Release of Private Health Information
  • Consent to Obtain External Prescription History
  • Controlled Substance Prescription Agreement
  • Medical Record Release
  • New Patient Registration
  • Notice of Privacy Practices
  • Patient Information Update

Footer

(301) 869-9776

Convenient Locations in:

  • Arlington, VA
  • Ashburn, VA
  • Bethesda, MD
  • Chevy Chase, MD
  • Germantown, MD
  • Montgomery Village, MD
  • Rockville, MD
  • Medical Center, Rockville
  • Silver Spring, MD
  • U-Street, DC
  • Woodley Park, DC
  • L Street DC
Appointments Patient Portal Access your health records on your phone! Telemed Careers

Email Newsletter

Your email address is safe with us. We send emails only a couple of times a year.
  • This field is for validation purposes and should be left unchanged.
  • Facebook

© Copyright 2015 Comprehensive Primary Care. All Rights Reserved.

Website Development and Medical Practice Marketing by MarketSpark • Admin