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New & Returning Patients


New Patients

 

Welcome to Kingstowne Internal Medicine!

We look forward to serving your healthcare needs. Please print and fill out the forms provided below and bring it to your visit.

 

Please bring your insurance card, photo ID and your completed forms to your visit.  Out of respect for your time we ask you to arrive 15 minutes prior to your appointment to allow time to complete the appropriate paperwork. Failure to allow enough time to complete your registration and paperwork could result in an extended wait to see your doctor.

 

Returning Patients

 

We thank for your continued support and appreciate your decision to continue your care here at Kingstowne Internal Medicine!

Although you are not new to Dr. Waddell, you are a new patient to Kingstowne Internal Medicine.  Please bring your insurance card, photo ID and your completed forms to your visit.  We have access to your record from Primary Care Associates of Potomac so you do not need to complete the medical history form.  Out of respect for your time we ask you to arrive 15 minutes prior to your appointment to allow time to complete the appropriate paperwork. Failure to allow enough time to complete your registration and paperwork could result in an extended wait to see your doctor.

 

 

FORMS

 

Demographics     Disclosure     Records Release     HIPPA    Your Annual Physical   Medical History

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