ASAP@GBMC:
A State-of-the-Art Center for Efficient Testing and Effective Treatment of Asthma, Sinus and Allergy Problems in Children and Adults

Our Mission is to provide the best care and service by applying patient-centered principles and practices in an innovative state-of-the-art environment.

Our Vision is to be the center of choice for patients with asthma, sinus or allergy problems by virtue of our expert care, exemplary staff and extraordinary facilities.

* Home * New Patient Forms

INSTRUCTIONS, DIRECTIONS AND FORMS FOR NEW PATIENTS
NOTE: You need Adobe Reader to access these forms.
Download the free latest version of Adobe Reader if you don't have it yet.
Contact us immediately if you have any problem downloading the 3 forms:

1. Click HERE to download "New Patient Instructions and Directions"
(Note the instruction about withholding antihistamines before the visit.)
2. Click HERE to download "New Patient Medical History Form"
(Please be patient as this could take a few minutes to download. You can type your answers directly onto this form before printing it.)
3. Click HERE to download "New Patient Registration Form"
(You can type your answers directly onto this form before printing it.)

IMPORTANT NOTICE: If you need to reschedule your visit, please call us at least 24 hours in advance to avoid a $25 No Show Fee and allow another patient to be assisted. Please arrive on time with all the necessary documents and current medications. Thank you and we look forward to taking care of you soon.


NOTICE OF PRIVACY PRACTICES
Click HERE to read about HIPAA Notice of Privacy Practices

PATIENT SATISFACTION SURVEY
Click HERE to download the Patient Satisfaction Survey form
Contact Us:

Tel 410.583.8393
Fax 410.583.8394
Email ASAP@GBMC

Address:

6535 N. Charles Street
Suite 450
Physicians Pavilion North
Towson, MD 21204

Office Visit Hours:

Mon: 8:00am - 4:30pm
Tue: 8:00am - 6:30pm
Wed: 8:00am - 4:30pm
Thu: 8:00am - 6:30pm
Fri: 8:00am-12:00pm

Allergy Shot Hours:

Mon: 8:00am - 4:00pm
Tue: 8:00am - 6:00pm
Wed: 8:00am - 4:00pm
Thu: 8:00am - 6:00pm
Fri: 8:00am-11:30am

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