Your initial visit will include a comprehensive diagnostic evaluation, which will be recorded in detail in your patient record. A copy of this will be sent to your referring physician and, if indicated, your physical therapist. If you do not wish your records to be released to anyone, please tell us at the time of your visit. Information regarding your evaluation will not be released by our office to any one other than your referring physician or therapist without your written permission. Please remember to bring your insurance form or card and a list of your current medications to your appointment.
Summit Orthopedics Welcome Packet & Patient Forms
Please print out the forms below and bring the completed forms with you to your office visit. Please do not fax or mail these forms to our office.
If you are a postoperative patient and you develop a condition or symptom requiring immediate attention, please contact our office or answering service. One of our physicians is always on call and will make arrangements to see you in our office or an emergency room. If your condition does not need immediate attention, please call our office between 8:00 a.m. - 9:00 a.m. so that we can accommodate you as soon as possible.
Fees and Payments
We make every effort to decrease the cost of your medical care. Therefore, we request payment arrangements for all office services at the time they are rendered unless prior arrangements have been made. There is a same day cancellation/no show fee of $75.00. For your convenience, we accept cash, checks, debit cards, MasterCard, Visa, and American Express. If we are a participating provider of your insurance company, we'll bill them. However, payment is the patient's responsibility. We'll help in any way we can to assist you in handling claims.
We participate with many major insurance plans. Please call our office to verify that your insurance plans are accepted by each of our physicians. Your health is our prime concern. If you do not have health insurance, please do not let financial problems keep you from getting the medical care you need. If you will frankly discuss your financial problems with us, we will work out a mutually acceptable payment plan.
5530 Wisconsin Ave, Ste 1660
Chevy Chase, Maryland 20815
Phone: (301) 657-9876
Fax: (301) 657-8240
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