Thank you for your interest in becoming a new patient of Dr. Dennis Glick.
Please arrive 15 minutes early to your first appointment with your insurance card(s) and photo identification (a parent’s id if patient is under 18). This will allow sufficient time for our front office staff to explain paperwork if not yet completed and for you to read over our policies and ask any questions you may have before signing the forms. Paperwork must be signed before seeing Dr. Glick for the first time.
You may bring lab results, tests, and other medical, hospital, psychiatric or therapist reports that you feel will help Dr. Glick fully understand your condition. Please bring copies with you so you are not giving away the original documents. It is helpful to bring either a written list of all of your medications or the bottles themselves to your first appointment.
Please fill out the new patient information forms below. Forms must be filled out entirely. We have several options for sending in your forms: fax to us at 301-982-9452; scan and e-mail your forms to Kay Parker, Practice Assistant, at e-mail address: firstname.lastname@example.org; mail them to our mailing address (see top of main website page) and please indicate “new patient” on the envelope; or drop off your forms in person during our administrative business hours (Mon-Fri 9am-5pm).
Due to the high volume of new patient requests we receive, we ask that you wait at least 24 hours after faxing or emailing your information and 3 to 5 business days after mailing before contacting us to schedule your appointment. After receiving your information, we will contact you to schedule. You may reach us at 301-982-3437 extension 200 with any questions that you have.
We appreciate your selecting Glick Psychiatry for your Mental Health needs and look forward to providing you the highest quality care.