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Adult Patient Information Form
Submit your patient’s pre-visit information
![MedBilling image showing primary care](https://serenecareclinics.org/wp-content/uploads/2023/02/MedBilling-e1677049117940.jpg)
Billing Information Form
Submit your insurance and billing information
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Medication History
Submit your medication, allergies and immunization history.
![Patient-History](https://serenecareclinics.org/wp-content/uploads/2023/02/Patient-History.jpg)
Medical/Surgical History
Submit your patient’s hospitalization & surgical history
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Screening/Symptoms
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
![HIPAA Compliance application and stethoscope on a desk.](https://serenecareclinics.org/wp-content/uploads/2023/02/HIPAA-Compliance-900x600-1.jpg)
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
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