New Patient Information

New Patient Form Downloads

If you are a new patient, please try to complete all pages of the patient forms 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. For your convenience, a large print and Spanish text version of our forms is also available. You only need to fill out one set of forms.

All Patient Forms

Large Print Forms

Spanish 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, which may include, but is 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.

  • Aetna
  • Amerigroup
  • Anthem BCBS
  • BCBS North Carolina
  • CareFirst BCBS
  • Cigna
  • Humana
  • InforMed/CHP/Conifer
  • Kaiser
  • Maryland Physicians Care
  • Medicaid
  • Medicare
  • MedStar Family Choice
  • MedStar Select & Medicare Choice
  • Railroad Medicare
  • Riverside Health
  • Tricare/HealthNet Federal Services
  • United Healthcare