Policies and Forms

Main Street Pediatrics has offices in both Towson and Foundry Row to serve you. On this page, you'll find information about our general office policies as well as links to some of the forms that you can print out and fill out before your appointment to save time.

Click the links below to find out more about our policies:

• Billing PoliciesIf you are a young adult patient (18 years or older), or you have a child who is a young adult patient, please click the link below to view our privacy agreement:   Confidentiality Agreement for Adult Patients
• Insurance
• Phone calls
• Appointments
• Referrals, school/camp forms, letters, prescription refills
• Patient Rights and Responsibilities
  

If you are a new patient, print out the forms below and bring them with you to your appointment or fax them to us:

• Privacy
• Registration
• Authorization and Consent
• New Patient History Form
• Family History Form

If you are an adolescent or young adult patient (12 years or older), or you have a child who is an adolescent or young adult patient, please click the link below to view our well visit questionnaires:  

• CRAFFT questionnaire
• PHQ-9 questionnaire

If you are a young adult patient (18 years or older), or you have a child who is a young adult patient, please click the link below to view our privacy agreement:  

If you are coming in for a prenatal consultation, print out the Prenatal Consultation form below and bring it with you to your appointment.

• Prenatal Consult

If you need to transfer your medical records either from us or to us, use the below form.

• Medical Record Release