Home

Our Physicians
Locations / Contact Us
Urological Services / Conditions Treated
Specialized Treatment / Procedures
Patient Information
Patient Education and Instruction Forms
Payment and Insurance
OFFICE LOCATIONS:
Clinton Office

7501 Surratts Road, Suite 308
Clinton, MD 20735
Ph: (301) 868-0202
White Plains Office
Fairview Center, Suite 101

4225 Altamont Place
White Plains, MD 20695
Ph: (301) 645-8838
The Fairview Urocenter
Fairview Center, Suite 101

4225 Altamont Place
White Plains, MD 20695
Ph: (301) 645-8838
 
 
What to bring with you to your first office visit:
Insurance card and a picture ID
Physician Referral From (if required by your insurance or HMO)
List of all current medications; prescription and over the counter
Copies of all pertinent X-rays and recent lab results (urine culture results, PSA, etc)
 
 
Downloadable Forms:

The following is a list of downloadable forms. Please print out the appropriate packet and bring the completed forms with you for your office appointment:
 
Male Patient Forms (13 pages)
Female Patient Forms (12 pages)
Annual Update
 
 
Note: To view and print our downloadable forms, please download a free version of Adobe PDF Reader here.


 

Chiaramonte Huisman and Zorn Urology, LLC | 7501 Surratts Road, Suite 308 | Clinton, MD 20735 | (301) 868-0202
© 2010 Chiaramonte Huisman and Zorn Urology, LLC, All rights reserved