PHS, LLC

Please bring your insurance card and ID card with you for each visit and notify our front desk anytime your insurance coverage changes.
If you are looking for Cardiology or Pediatrics Instructions please click this link: Instructions

New Patients:

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• New Patient Registration Form
• Notice of Privacy Practices
• Financial Policy
• Release of Medical Records
• Authorization to Release Information
• Adult Medical History (For Primary Care Patients)
• Adult Medical History (For Cardiology Patients)
• Allergy Update

Cardiology Forms:

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• Laurel/Columbia Referral Form
• Hagerstown Referral Form

Covid-19 Forms & Information:

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• Covid-19 Vaccine Pre-Screening Form
• Johnson & Johnson Covid-19 Vaccine Information

Pediatrics Forms and Information:

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• Click Here

Sleep Medicine Forms:

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• Sleep Questionnaire
• Epworth Sleepiness Score
• Stop-Bang Questionnaire

General Forms:

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• Generic File Upload Form
• Form Completion Request
• We Welcome Your Comments!
• Mobile Privacy Policy NON-Marketing Policy
• Messaging Terms of Service

If you are looking for Printable Forms please click this: Printable Forms

Please note: These documents are in Adobe® PDF format. They require Adobe Reader() to be viewed. If you do not have Adobe Reader, you can download it for free by clicking here!