REQUEST AN APPOINTMENT
PLEASE CALL TO SCHEDULE YOUR APPOINTMENT:
Ellicott City: 410-730-1712 | fax: 410-730-1716
Glen Burnie: 410-760-9996 | fax: 410-582-9314
- Insurance card
- At least one form of personal identification
- Current list of medications
- List of allergies
- Prior colonoscopy reports / CT scan reports
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
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.