forms-and-registration

Forms

When you arrive, please bring your ID, insurance card, and physician referral if applicable. If you have the results of any previously ordered tests, radiology reports/disks, or other relevant medical documents, please bring them with you at your initial visit.

Please print and complete the forms in the links below and bring them with you to your appointment. If you were a patient of Dr. Kalan at the hospital and are following-up in the office, you only need to complete the ‘registration’ forms. If it is your first time seeing Dr. Kalan, please fill out both the ‘Registration Forms’ and ‘Forms for first-time patients.’ Completing the forms before your appointment helps Dr. Kalan see you at your scheduled appointment time!

 

 

Surgeon In Chief

 Dr. M. Kalan
 M.D., F.A.C.S., F.R.C.S.(London & Edinburgh)

Washington Institute of Surgery

 Learn more

 

Offices

Washington

 

2311 M Street, N.W.
Suite 501
Washington, DC 20037

TEL: (202) 775 9375
FAX: (202) 776 9088

MON - FRI: 9:00AM - 5:00PM

 

 

Maryland


5530 Wisconsin Avenue,
Suite 1450
Chevy Chase, MD 20815

TEL: (301) 656 6704
FAX: (301) 656 6701

MON - FRI: 9:00AM - 5:00PM

 

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