If your Division 64 provider recommended surgery or a procedure, please call Tifany Smith (301) 468-0073 ext. 1118
Surgery Consent Forms
- Surgery Consent
- Hysterectomy Consent
- Sterilization Consent (all other insurances)
- Sterilization Consent (for Medicaid Patients Only)
C-Sections
Procedures normally done in the office: Call (301) 468-0073
- IUD Insertion / Removal
- Hysteroscopy / Biopsy
- Nexplanon Insertion / Removal
- (Barrett, Block, Glass, NG, Seifert, Tussing)
- Colposcopy