Fax (fastest method):         
410.799.3944 

Email:      
admin@drtatar.com

Mail:         
Barry S. Tatar, M.D., LLC
8178 Lark Brown Road, Suite 101
Elkridge, Maryland  21075

Please also include a copy of the front and back of your insurance card, if possible.

Once we receive your form, we will contact you to schedule an appointment.

If you have already scheduled an appointment, but not yet submitted this form, please complete it and bring it with you to your appointment.

A copy of our current HIPAA Privacy Practices can be downloaded here:

HIPAA_Privacy_Notice_Tatar_0409.pdf