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New Patient Registration and Policies Form 

Mobile Therapy

On-Site Therapy

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Questions For Your Insurance Company

Insurance Card Upload

Please upload images of your medical insurance card(front and back).  If you do not have a Google account, you may email your images to: mike@newfreedompt.com or text to: 433-502-0885

Note: For Mobile Therapy, we accept Maryland Medicaid, CareFirst(including Blue Choice) and Aetna insurances.  For On-Site Therapy, we accept Maryland Medicaid only.
 

Card Upload Form

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