Comprehensive Care in One Convenient Location

Pediatric Records Request. Use this form to request immunization records, forms for school, camp, sports, home and hospital, etc

Frequently used forms for pediatrics

Frequently used forms for adult medicine

Authorization for Release of Protected Health Information TO Columbia Medical Practice(PDF)

Authorization for Release of Protected Health Information BY Columbia Medical Practice (PDF)

HIPAA Omnibus Notice of Privacy Practices (PDF) Updated January 20, 2023

Helpful Maryland State forms

Do you need an MD MVA Disability parking placard or plate?
Step 1: Complete the VR-210 form. (PDF)
Step 2: Bring the VR-210 to your appointment with your provider.
Step 3: Upload and submit the completed form here.