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You MUST have a Pre-Op History and Physical form completed by your primary care physician and in most cases lab work completed, at least one week prior to surgery, no earlier than 30 days prior. Your primary care physician may also require you to have an EKG.  You may print this form to take to your doctor. The completed form and results must be forwarded to our office NO LATER THAN 3 BUSINESS DAYS PRIOR TO YOUR SURGERY TO AVOID CANCELLATION. If your insurance plan requires a referral, you will need an "Outpatient Medical/Surgical Center" Referral written by your primary care physician. This must be forwarded to our office PRIOR to your surgery in-order for us to bill your insurance on your behalf. Upon completion, you may either:

  • Fax to Dr. Barry S. Tatar, M.D., LLC, at 410.799.3944
  • E-mail to ctatar@drtatar.com
  • Mail to: 8178 Lark Brown Road, Suite 101, Elkridge, MD 21075
  • Bring it with you to your pre-surgical appointment if applicable.


History and Physical Form





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