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Forms

We have made the following forms available for you before your appointment.

New Patient?
Download our new patient form. We will ask you to enter this information into a private computer located in our waiting room. However, we ask you look over this form, so you will have all the information available at your appointment.

Policy for Prescription Medication
This form explains our policy about prescriptions for pain medications. All our patients sign this form before starting treatment. Download our policy for prescription medication.

Permission to share your medical information with your doctor/lawyer
This signed form allows our doctors to share the patient's medical information with a specific doctor/lawyer. Download our permission to share information form.

patient fills out forms at a private computer station at Bethesda TMJ in Rockville, Maryland
All patients fill out their forms at a private computer station when they visit us for the first time.