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Towson Office

(410) 494-1369

Foundry Row

410-526-7993

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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 Policies
  • Insurance
  • Phone calls
  • Appointments
  • Referrals, school/camp forms, letters, prescription refills
  • Patient Rights and Responsibilities


If you are a new patient, print and fill out the forms below. Be certain to fax or mail them to us in advance of your appointment:

  • 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:  

  • Confidentiality Agreement for Adult Patients


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
 

Towson Office

849 Fairmount Avenue
Dulaney Center 1 Building Suite 100 A
Towson, MD 21286  

Tel: 410-494-1369
Fax: 410-494-2737
Urgent after-hours: 410-494-1362 

Towson Office Hours

Temporarily Changed Due To COVID-19

Monday:

8:30 am-6:00 pm

Tuesday:

8:30 am-6:00 pm

Wednesday:

8:30 am-6:00 pm

Thursday:

8:30 am-6:00 pm

Friday:

8:30 am-5:00 pm

Saturday:

Morning Urgent Care

Sunday:

Morning Urgent Care

Foundry Row Office

10084 Reisterstown Road
Life Bridge Health Building Suite 200 B
Owings Mills, MD 21117  

Tel: 410-526-7993
Fax: 410-526-5144
Urgent after-hours: 410-526-7993  

Foundry Row Office Hours

Temporarily Changed Due To COVID-19

Monday:

8:30 am-7:00 pm

Tuesday:

8:30 am-7:00 pm

Wednesday:

8:30 am-7:00 pm

Thursday:

8:30 am-7:00 pm

Friday:

8:30 am-5:00 pm

Saturday:

9:00 am-12:00 pm

Sunday:

9:00 am-12:00 pm


aap
http://www.healthychildren.org/English/tips-tools/symptom-checker/Pages/default.aspx

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