Forms

New Patient Intake (Used at Both Locations)

Detailed Sympton Description (Downtown - Dr. Lippy, D.C.)

Detailed Symptom Description (Catonsville - Dr. Levin, D.C.)

Authorizations Sheet (Used at Both Locations)

 

Please be sure to fill out the appropriate Symptom description, depending on which Dr. you are planning to see. Thank you!

 

Auto Accident / Personal Injury

In case you have been in an Auto Accident, please disregard the Forms mentioned above. 
USE THIS FORM INSTEAD!

Thank You!

 

To make things EVEN EASIER, you can even FAX us the forms!

That way all you'll have to bring is yourself, your Photo ID & Insurance Card!

Downtown Fax # 410-347-3592

Catonsville Fax # 410-737-8069