Contact Medical Access

	Medical Access \| 19504 Amaranth Drive, Germantown, MD 20874 \| Phone: 301.428.1070

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	From Prevention to Cure We are here to help meet your health care need…. Whether it’s an immediate, non-life threatening illness or injury, a specific type of physical or to provide overall care and coordination of your health care needs… .. We’re here for you!

Forms

Occupational Forms

Patient Forms

Patient Forms

Following are the forms that we use at Medical Access:

To help speed-up the registration process, you may click on the form below so that you may printout and complete the form before coming to Medical Access.

Patient Registration Form
Immigration Form
Motor Vehicle Accident Form
Annual Physical Form
Medical Records Release Form A (When you want a copy of your records for yourself or you want them sent to another physician)
Medical Records Release Form B (When you want us to get a copy of your records from another physician or facility)