New Patient Information

New Patient Form Downloads

If you are a new patient, please try to complete the five forms listed here before attending your first appointment.

Arriving prepared for your appointment will help us to ensure that your needs, as a new patient, are understood and that the process can be expedited appropriately.

All Patient Forms

Individual Forms:

Please bring the following to your appointment:

  • Driver’s License or State ID
  • Insurance Card
  • Co-Pay (due at time of appointment)
  • List of current medications

Additional Forms & Policies:

We look forward to your visit!


 

Insurances Accepted

​Foot and Ankle Specialists of the Mid-Atlantic, LLC (“FASMA”) is in network with most major health insurance plans including, but not limited to, those listed below.  If you don’t see your insurance plan listed, it may have another name.  Please contact the customer service number on the back of your card to verify your specific coverage.  We also provide specific in-network insurance information for each doctor on their individual page.

  • Adventist HC
  • Aetna
  • Amerigroup
  • Anthem BCBS
  • BRAVO
  • CareFirst BCBS
  • Cigna
  • Humana
  • InforMed/CHP/Conifer
  • JHHC, LLC
  • Kaiser
  • Maryland Physicians Care
  • Medicaid (MD Only)
  • Medicare
  • MedStar Family Choice
  • MedStar Select & Medicare Choice
  • Railroad Medicare
  • Riverside Health
  • Tricare/HealthNet Federal Services
  • United Healthcare