DOCUMENTS

Valued Patient:  Please complete the "New Patient Forms Packet" and bring it with you as you arrive 15 minutes prior to your appointment so that we can expedite your registration process.

Valued Referring Physician and Staff:  Please take a minute to download our "Request for New Patient Appointment" form and send us the completed document via fax at (410) 744-8036.

 
HIPAA Packet
Notice of privacy practices for protected health information
New Patient Forms Packet
Valued Patient: Along with the completed patient packet, please bring your Photo ID, Insurance Card, and any Copay/Deductible, if applicable. 
 
Physician's Request for New Patient Appointment
Valued referring physician and staff: We ask the referring physician's office to fax (410-744-8036) this completed document to us in advance so that we may promptly arrange an appointment with the patient. Thank you for your assistance.
 

“From our establishment in 2004, we have been and always will be dedicated to making a difference in the lives of our patients. We pursue this objective by combing methods ranging from applying novel and cutting-edge treatment options to empowering patients in taking charge of their lifestyles by conducting in-house educational dialogues or through arthritis management programs in community halls.”

Dr. Nasser Nasseri, Founder of the Nasseri Clinic of Arthritis & Rheumatic Diseases

© 2020 by Nasseri Clinic of Arthritic and Rheumatic Diseases