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Adult Patient Information Form

Submit your patient’s pre-visit information

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Billing Information Form

Submit your insurance and billing information

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Medication History

Submit your medication, allergies and immunization history.

Medical/Surgical History

Submit your patient’s hospitalization & surgical history

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Submit your patients screening history & current symptoms

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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.

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Financial Policy

Review and acknowledge our financial policy in regards to insurance & services


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