We welcome new and returning Capital Women’s Care patients. Our staff is committed to ensuring that the administrative aspects of your visit are handled with the same high level of professionalism and care as the medical portion.

Appointment Policy

• Please arrive promptly and allow 20 minutes to update/complete the required paperwork.
• Late Arrivals: If you are 15 minutes late for your appointment, we will do our best to accommodate you but it may be necessary to reschedule your appointment.
• To help your visit go as smooth as possible, you must present the following at your appointment:
  • Current insurance card(s)
  • Driver’s license or legal photo ID
  • Referral forms if necessary
    • Please note: If your insurance plan requires a referral, it must be presented at the time of your appointment. We cannot provide treatment without a required referral. If you do not have your referral form, we may need to cancel and reschedule your appointment, or you may pay in full at the time of service.
• New patients will be required to complete a medical history form.
• All new patients will fill out registration, and HIPAA information on the Kiosk or from their mobile device when they check in.

Please print and complete the following forms at home and bring them with you to save some time on the day of your appointment:

New Patient Paperwork

Permission to Treat without Parent or Legal Guardian Present

Capital Women’s Care must receive permission from a child’s parent or legal guardian before providing treatments for an injury or illness that is non-life threatening. This form gives us legal permission to treat your child in case you cannot accompany them to the practice for treatment.

• A parent/legal guardian must attend a minor’s first visit at Capital Women’s Care.
• A “Permission to Treat a Minor without a Parent/Guardian Present” form is required for a minor to be seen without his/her parent/legal guardian.
• In certain circumstances, in accordance with State and Federal laws, parent/guardian permission may not be needed for adolescents being seen for concerns of “heightened sensitivity” such as STD testing, family planning, or mental health.

Permission to Treat Minor without Parent/Guardian Present Form

Accepted Insurance Plans

Capital Women’s Care participates with a variety of insurance plans to help make your care as accessible as possible. Please note that not all of our locations accept every insurance listed. We recommend confirming participation directly with the office where you plan to be seen.

Record Release Authorization

Capital Women’s Care maintains the patient’s rights wherein all medical records are kept confidential according to all federal and state laws. Federal and state law requires the patient’s signature, or that of an authorized personal representative, to release or transfer medical records. The patient records are defined as all records that relate to the health of the patient and are prepared by or under supervision of a health care provider associated with Capital Women’s Care. Patients who provide records from another physician, outside of CWC, are encouraged to retain their own copy as Capital Women’s Care cannot provide a copy. Please allow 5 business days for the processing of medical records. Please contact the office for more information about the cost of copying medical records.

Please click below to print the applicable form:

Records Release TO Capital Women’s Care
Records Release FROM Capital Women’s Care

Emergencies

Obstetrics and gynecology often involves emergency procedures, surgical delays, and deliveries. We ask for your understanding, and if we are running behind schedule, our staff may attempt to notify you.

Cancellations

We request that you arrive promptly for your visit. If you are unable to keep your appointment or are going to be late, please call the office as soon as possible. Cancellations without 24 hours notice or missed appointments may be subject to fees.

Prescription Refills

Feel free to phone in your prescription refill request to the office by calling 410.876.2003, option 2

Prescription refill requests will be sent into your pharmacy twice daily, at 12p and 4pm. Prescription requests received after 4pm and on weekends will be completed the next business day. In order for us to call in your prescription refill, we will need the following information. Patient name, date of birth, medication name and dosage, pharmacy name and location, and a phone number with area code where we can reach you.

Completion of Forms

The charge for completion of forms is $10. Forms will be completed within 7-10 business days.