DAJA Health

care@dajahealth.org

301-552-3500

Patient Portal TELEMED (TELEHEALTH)

Appointments & Schedule Insurance & Payment Medical Records Medical Refills Patient Forms Patient Portal Policy and Procedures

Appointments & Schedule Insurance & Payment Medical Records Medical Refills Patient Forms Patient Portal Policy and Procedures

Patient Forms

Authorisation to release Healthcare Information form

Consent to obtain external prescription history form

Controlled substance prescription agreement form

New patient registration form

Patient information update form

AUTHORIZATION FOR THE RELEASE OF PRIVATE HEALTH INFORMATION

Privacy Policy

6305 Ivy Lane, Suite 260

Greenbelt, MD 20770

+1 301-552-3500

+1 (866)207-0983

care@dajahealth.org

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