Where it is our mission to exceed the needs of all of our patients while improving their quality physical & mental health through education & comprehensive medical care.
Silver Spring Office: (301) 681-6000
M-F 8:30a-10:30a, 1p-2:30p, Sat 8:30a-11a
(use patient name when prompted for name)
M-F 4:30p-10p, Sat 11:30a-10p, Sun 7a-10p
(use patient name when prompted); for existing patients only
If 10p or later please call 301-337-2988
Well Child Forms
*MCHAT (Autism Screening Tool)
*EPDS Postnatal Screening (to be completed at 2wk, 1 month and 2 month visit)
*Teen Depression Screening (to be done yearly by the PATIENT from 12yrs -18yrs old)
*Anxiety Screening (Parent and Patient portion at 11yrs and 14 yrs old well visit)
Scared Parent (Anxiety Screening-Parent part)
Some of the forms above are developmental and/or important screening forms that we use as a standard of care during certain well visits. These forms will be billed to your insurance for payment. In the event your insurance does not cover this screening, the patient will be billed $15 per form. Please note that some insurances cover these screenings but charge a copay to the patient.
New Patient Forms
Vaccine Information Sheets
Mental Health/Therapy Forms Safety Plan Therapy Consent Form LCSW Therapy Psy.D Informed Consent Therapy Release of Information Therapy Telehealth Consent
Please note: Vanderbilt forms are only for children ages 6 years and older.
School and Camp Forms
Adobe Acrobat .pdf Reader
Contact Us (for non patient related questions)