MAJ Comprehensive Wellness Center LLC
  • Feel Free to Talk to Us! Phone: 240-751-4814 | Fax: 240-658-8805
  • Message Us majcomprehensivellc@gmail.com
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Patient Forms

Home ยป Patient Forms

Embarking on a journey towards wellness should be as seamless as possible. We’ve simplified the initial steps of this journey by providing easily accessible patient forms on our website. To facilitate a smooth and efficient onboarding process, kindly ensure all necessary forms are completed and submitted promptly.

  • PTSD Checklist Adult
  • Insomnia Severity Index
  • Patient Registration Forms:
    • Patient Registration Form
    • PHQ-9 Depression Assessment Form
    • Generalized Anxiety Disorder 7-item (GAD-7) Scale
    • Adult ADHD Self-Report Scale (ASRS-V I. I) Symptom Checklist
    • Mood Disorder Questionnaire Screener
  • Controlled Substance Form
  • Notice of Privacy Practices
  • Patient Information Consent and Financial Policy
  • Intake Form
  • Release Receive
  • Termination Policy
  • Self Pay Agreement
  • Screening Form
  • Initial Evaluation Form
  • Telehealth Services Informed Consent Form
  • MAJ Comprehensive Wellness Center LLC Medication Consent Form
  • MAJ Comprehensive Wellness Center LLC Signed Medication Consent Form

Get in Touch Contact Information

Service Areas Covered: All counties of Maryland and Washington, DC.

  • Call Us: Phone: 240-751-4814 | Fax: 240-658-8805
  • Locate Us:
    9841 Washingtonian Blvd., Ste. 200 Gaithersburg, MD 20878
  • Message Us: majcomprehensivellc@gmail.com
  • Hours of Operation Monday - Friday: CLOSED Saturday & Sunday: 9:00 AM - 5:00 PM
MAJ Comprehensive Wellness Center LLC
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