Please follow these instructions to complete your Ayurvedic History:
- Please click here to download the fillable PDF Form.
- Fill out the form with your information
- Save the form to your device.
After saving you may:
- Email to prabha@medsecuremail.com -OR
- Fax it back to 240-831-5001- OR
- Print it and bring it with you on your first visit.
Here is a secure link for emailing your information: Hipaa secure link
If you have any questions just call our office at 301-951-9000.