Chrosniak, Schwartzbauer, and Mehta M.D.

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Providers

Cynthia Chrosniak M.D.

Heather Schwartzbauer M.D

Nicholas Mehta M.D.

Jane Cooke AuD.

Kathy Balestino-Estes AuD

Contact Us

Hearing Services

Hearing & Balance Testing

Hearing Aid Devices

Signs of Hearing Loss

Patient Registration

Insurances

Having Surgery

Specializing in Disorders of the Ear, Nose & Throat

What to Bring to Your Appointment


Please be sure to bring the following items to our office so that we can provide you with a more efficient registration:

  1. Your doctor's written referral, if you have one.

  2. Your insurance referral, if required.

  3. All x-rays, CT scans, and MRIs. Please bring the actual scans. 

  4. A list of all of your medications.

  5. All pertinent blood test results.

  6. Your insurance cards and identification.

  7. Your doctor's name, address and phone number.

  8. Your completed patient registration forms, if you printed it at home.



Patient Registration Forms


To the right are links to our registration forms. Completing these forms prior to your visit will help expedite your registration process. If you have not been seen in the last calendar year, all four forms need to be completed to update your personal and medical information.

If you don't have Adobe Acrobat reader, you may download it below

http://www.adobe.com/products/acrobat/readstep2.html


Conditions of Registration
Patient Health History
Registration Form
  Minor Procedure Form
 




I
nsurance and Fees

Our practice participates in Medicare, Blue Cross and most major HMO’s and PPO’s.  We will submit claims for the services rendered to the insurance company for you.  You will be responsible for services not covered by insurance or any balance after the insurance company has made payment.  Copayments are due at the time of service.  If you receive a bill and you have questions, please contact our new billing office at 866-243-7105.  Our billing manager will be happy to answer any questions you may have.








Olney Office

Montgomery General Hospital
Professional Office Building
Suite #224
18111 Prince Phillip Drive
Olney MD, 20832
301-774-0074

Silver Spring Office

Leisure World Plaza
Professional Building
Suite #206
3801 International Drive
Silver Spring, MD 20906
301-598-8600