Patient Document Submission Instructions

Please read the following instructions carefully and complete all required steps before submitting your paperwork. Incomplete submissions may result in delays in scheduling your appointment.

Required Documents for Appointment Scheduling

  1. State-Issued ID or Driver’s License

  • Submit a clear copy of a valid state-issued ID or driver’s license.

  • For minors (under 18): A parent or legal guardian must submit their own ID.

  1. Insurance Card(s) – Front & Back

  • Submit a copy of the front and back of your active insurance card(s).

  • Submission options:

  • Email: Send as an attachment to info@dmvmedgroup.com.

  • Fax: Send to 301-321-7800

Important Notes

  • Complete All Forms:

  • All required documents must be fully completed before an appointment can be scheduled.

  • Incomplete submissions will not be processed.

  • Insurance Verification:

  • Failure to upload or provide insurance details before your appointment may result in being charged the full out-of-pocket rate for services.

  • For Minors (Under 18):

  • A Consent to Treat a Minor form must be completed (found on the last page of the required forms).

Contact Information

If you have any questions, please contact our office:

DMV Medical Group

10400 Connecticut Ave., Ste C

Kensington, MD 20895

Phone: 240-669-7496

Fax: 301-321-7800

Email: info@dmvmedgroup.com

Thank you for your cooperation. We look forward to assisting you with your healthcare needs.