Insurance

Due to Maryland licensing laws Dr. Martin may not participate as a preferred provider in any medical insurance program. However, if your insurance plan includes “Out of Network”  benefits these benefits apply to the services with Dr. Martin.  You are responsible for the full cost of your visits at or before your scheduled visit. We will supply you a “super bill” which you may submit to your insurance for reimbursement. We cannot guarantee any amount of reimbursement by your insurance but we will do everything we can to make sure that you will have all necessary information needed from our office to maximize your reimbursement.

Many patients also utilize their Flex spending or Health Savings benefits.

Patient Forms

Our patient forms are provided in Adobe PDF format, and can be downloaded to print and complete manually to bring with you to your visit.

If you do not have the free Adobe Reader, you can download it from Adobe’s website.

get_adobe_reader

photo-collage_wildflowersYou can also complete the forms electronically and send them by email or print and then fax them to us at 410-296-4636.

To complete the forms electronically, make sure to first download and save the blank form to your computer. Right-click (Mac users, control-click) on the form title, and save the desired PDF form. Then open the saved blank form and complete it. Here are instructions for using the typewriter tool in the Adobe Reader™ software.

Fee Schedules & Clinic Brochures
Patient fee schedule overview
Sunlight Natural Health brochure 2015
Wellness Packages for New and Current Patients (brochure)

Medical History Forms

• Initial Consult Intake
Adult — New Patient Intake (18+ years old)
Adolescent — New Patient Intake  (6 to 17 years old)
Child – New Patient Intake  (birth to 5 years old)

Consent Forms
Informed consent 
Phone & email consent
Auto Payment Authorization

Wellness Package

Wellness Plan Contract

Assessment Forms
Diet Diary
Metabolic Assessment
Neurotransmitter (NTAF) Questionnaire

Record Release Forms
Records Release In – Allows Sunlight Natural Health to request your records from other practitioners
Records Release Out – Allows Sunlight Natural Health to share your records with other practitioners

 

Except in cases of medical or family emergency, two open business days notice must be given for all cancellations or rescheduled appointments or the full visit fee will be charged.