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Patient Forms


Please reference and complete the following forms before coming in for your appointment. If any patient information has changed since your last visit, for example your insurance carrier or your address, please let the office know.

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Authorization and Consent to Treatment


Preferred Contacts


Notice of Privacy Practice


Financial Policy


COVID Testing Refund Policy


LJ Medical Health and Wellness Clinic
6244 Montrose Road
Rockville, MD 20852
Phone: 878-778-7837
Fax: 301-338-6463

Office Hours

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