Patient Forms

Thank you for choosing the Adult Attention Deficit Disorder Center of Maryland to seek care with one of our highly respected, nationally recognized experts.

We understand that you want to have your office visit be as smooth as possible. To help facilitate this process, we have provided forms online for you to download and complete before your visit. This saves you the effort of filling out the form after you get to the office.

Listed here are the patient forms we have you fill out when you come for your appointment. Simply scroll through the list to find the form you need, then click on the link to download the form and print it. Now you have the form to fill out at your convenience.

These forms will help you evaluate your insurance coverage, instructions on calling your insurance to get the needed pre-authorization, and a review of office policies for treatment with us. We are a fee-for-service center and your medical insurance may reimburse you directly within your defined benefits.

Download Forms

Note: You will need Adobe Acrobat Reader to view these forms. Click here to download a free version of Acrobat Reader.

  • Registration Form
    This registration form will be needed at your first meeting with the doctor. You can complete it and bring it with you in order to save your time in the office.
  • Insurance Information Form
    By obtaining this information before your first appointment you will avoid a delay in reimbursement.
  • Information Release Form
    Use this form to request and authorize us to release any and all information concerning your medical condition to another provider.