Adult Patient Information Form
Submit your patient’s pre-visit information
Billing Information Form
Submit your insurance and billing information
Medication History
Submit your medication, allergies and immunization history.
Medical/Surgical History
Submit your patient’s hospitalization & surgical history
Screening/Symptoms
Submit your patients screening history & current symptoms
Consent For Treatment
Submit your patient’s consent for treatment by Serene Care Clinics
Disclosure of medical Information
Submit list the individuals who we are authorized to discuss your care with.
Financial Policy
Review and acknowledge our financial policy in regards to insurance & services
Location
10806 Reisterstown Rd, Ste 1F
Owings Mills, MD 21117
Make an Appointment
We operate by Appointments Only
Open Hours
Tuesday – Friday: 8:30am – 6pm
Monday & Saturday: 10am – 4pm
Call Us
410-204-2866