Welcome to our office.
If you would like to make an appointment, please call anytime!
Phone: 410.321.1195
Office hours: Mon - Fri 7:30 AM - 4:30 PM
Sat 8:15 AM - 11:45 AM
As of September 2012, we are transitioning to a fully electronic medical record.
We will appreciate your patience as we make the change.
Registration Forms
If you have already scheduled an appointment, you may download and print our registration materials by clicking the appropriate link below.
New Patient (Adult)
New Patient (Minor)
Medicare Patient
If you are unable to print the forms, please call us.
We will be happy to mail copies to you.
IMPORTANT: Completion of these forms in advance and arriving 15 minutes prior to your scheduled appointment time will speed your check-in process and will ensure that your visit runs smoothly. Please have your forms completed before you arrive. If you wait until the time of your visit to complete your forms we will not be able to see you on time.
New patients
We ask you to arrive 15 minutes before your scheduled appointment time so paperwork can be completed.
All Patients
If you arrive 20 minutes after your scheduled time, we will almost certainly need to reschedule your appointment .
All patients
If your insurance requires a written referral, the referral must be here in the office by the times indicated above. If not, your appointment will need to be rescheduled.
Please be sure to bring the following with you to every appointment:
Referral if required
Co-pay as dictated by your insurance plan
Current Insurance Card
Photo ID
Is the Patient a Minor?
Patients under the age of 18 MUST be accompanied by a parent or legal guardian ON EVERY VISIT. Minor patients that arrive unaccompanied will not be seen and will need to reschedule when a parent is available.
Insurance
Download: List of insurance companies we participate with
A special note about United HealthCare:
Dr. Lowitt does not participate in the United HealthCare network. Should you elect to receive your care with us, as a courtesy to you our billing department will submit your claim to United. United would consider the service to be and "Out of Network Visit." We therefore advise that you contact your insurance provider 1) to make sure that your policy includes Out of Network coverage and 2) to see exactly what that coverage entails. Many policies will assign a greater financial responsibility to the patient should they choose and Out of Network provider. If you do elect to be seen here, we will require a signed waiver from you, indicating that you understand that you may be responsible for the portion of the bill that United does not cover.
Referrals
If your insurance requires a referral from your primary care physician, please be sure that you bring the referral form with you. If your referral is not in our office at the time of your visit, you will not be seen that day and you will have to reschedule your appointment.
Please be aware that referrals are TIME LIMITED and it is YOUR RESPONSIBILITY to be certain that the dates of your visits fall within the start and end dates on your referral. This applies to new as well as all follow-up appointments. The office staff cannot be responsible for keeping track of the active referral dates. If your appointment is rescheduled for any reason, you must check to be sure that the new date is still within your referral window. The staff will NOT be able to call your primary's office for an updated referral if your referral is not active on the day that you come to be seen. If the referral is not active, you will need to reschedule.
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