New Patient Forms
We are very excited to welcome you to Parker Place! We highly encourage you to complete your new patient forms in advance if possible, to speed up your check-in and allow your provider to prepare for your visit.
For medical appointments and mental health counseling, we have separate forms for minor child patients (under age 18), as well as adult patients (18+). For occupational therapy/feeding therapy, we have only one set of forms. To access the forms, click one of the buttons below to open a PDF. You can then print and complete the forms, scan them and return them to our office in any of the following ways:
Email: info@parkerplaceannapolis.com
Text: 410-844-8998
Fax: 866-251-7548
…Or, bring the completed forms with you when you check in for your appointment!
Note: If you do not have access to a printer or are unable to complete the forms in advance for any other reason, please be sure to arrive a full 15-20 minutes early to your appointment so that you can fill them out in our office!
Medical Appointment INTAKE Forms:
MENTAL HEALTH Counseling Forms:
Occupational Therapy & Feeding Therapy Forms:
If you have questions about Parker Place, please contact us at any time. You can also read more about our team or check out our Frequently Asked Questions!
“Parker Place and Dr. Parker are just amazing! My daughter has struggled finding a doctor that she can relate to and Dr. Parker has made all the difference. She is so thorough in her assessment and actually makes a personal connection with my daughter. Her office manager, Jennifer, makes it so easy to manage appointments and always greets us with a smile. I am so thankful for Parker Place and all it has given to my daughter.”