REQUEST AN APPOINTMENT

crsa_appointment_icon

PLEASE CALL TO SCHEDULE YOUR APPOINTMENT:

Ellicott City: 410-730-1712 | fax: 410-730-1716
Glen Burnie: 410-760-9996 | fax: 410-582-9314

WHAT SHOULD I BRING TO MY APPOINTMENT?

  • Insurance card
  • At least one form of personal identification
  • Current list of medications
  • List of allergies
  • Prior colonoscopy reports / CT scan reports

NEW PATIENT REGISTRATION FORMS


Patient Registration
Form

DEDICATED TO EXCELLENCE

Our practice has a long-standing commitment to medical excellence and attention to detail. We stress concern and personal care, and adhere to conservative medical treatment methods. Surgery is recommended only when all other methods of treatment have been exhausted. We utilize modern surgical techniques to ensure you the highest quality of care and least amount of discomfort.

OFFICE HOURS

Patients are seen in the office by appointment, usually scheduled on Monday through Friday. The telephone is answered 24 hours a day, 7 days a week. During regular business hours, the secretary in the office will answer the telephone. Outside of regular business hours, an answering service will transmit emergency messages to the doctor on call. If the medical problem is such that you must be seen immediately, every effort will be made to have you come to the office or an Emergency Room. If you are taken to the Emergency Room at any local hospital, you are entitled to request that we be notified and called to provide any indicated medical care for you.

IN CASE OF EMERGENCY

If your emergency is LIFE THREATENING, dial 911 and ask for assistance.

For an after hours emergency consultation or questions contact:
Dr. Zalucki at 410-730-1712
Dr. Cifello at 410-760-9996

TELEPHONE POLICIES

The telephone policies are meant to allow for the best care for our patients with a minimum of interruptions; to answer necessary questions and to take care of urgent problems. Emergency calls will be handled immediately. Calls which are less urgent may be handled immediately or the call may be returned at a later time. Transmission of messages by our staff can enable us to take care of your needs more rapidly than if each call was handled personally.

IMPORTANT PATIENT NOTICES

Colon Rectal Surgical Associates has implemented the following policies and fees to better control rising costs.

ALL office co-pays must be paid at the time of service, when you check in at the front desk. We accept cash, check and credit card (VISA , Mastercard, Discover, and American Express). If you do not have your copay, we will reschedule your appointment.

Your insurance company holds the patient responsible for having a valid referral at the time of service. We can retrieve an electronic referral, however if the referral is a paper referral, it is the patient's responsibility to be sure that we have it at the time of service. You may bring the referral with you or if your physician's office faxes referrals, you must make sure that it has been faxed and is in our office at least one day prior to your appointment. If the referral is not available when you arrive for your appointment, you may reschedule the appointment or you may request that we obtain the referral for you. The fee for this service will be $10.00 payable at the time you check in.

There is a $10.00 fee for completing disability/FMLA/insurance forms, etc. This amount should be paid when the form is mailed or brought into the office to be completed. Please note, ample time is required for our office staff to complete you FMLA forms. We request at least a week's lead time to complete these forms for you.