• BILL PAY
  • PATIENT PORTAL
  • EMPLOYMENT
  • CONTACT
logo
  •  

    Oakland Office

    1027 Memorial Drive Oakland, MD 21550

  •  

    301-533-3300

    info@mtnlaurel.org

  •  

    Grantsville Office

    104 Parkview Drive Grantsville, MD 21536

  •  

    844-652-8735

    info@mtnlaurel.org

  •  

    Westernport Office

    22221 Westernport Road SW, MD 21562iesteport

  •  

    240-774-0204

    info@mtnlaurel.org

  • Home
  • Meet our Team
    • Providers
    • Members of the Board
    • Executive Team
  • Events
  • Healthy Living
    • News and Blogs
    • Wellness Checks and Immunizations
    • Community Needs Assessment Survey
  • Resources
    • Patient Portal
    • Forms
    • Your Rights
  • Services
  • Pharmacy
  • Contact
    • Vendor Representative
  • Home
  • Meet our Team
    • Providers
    • Members of the Board
    • Executive Team
  • Events
  • Healthy Living
    • News and Blogs
    • Wellness Checks and Immunizations
    • Community Needs Assessment Survey
  • Resources
    • Patient Portal
    • Forms
    • Your Rights
  • Services
  • Pharmacy
  • Contact
    • Vendor Representative

Forms

Home » Forms
New Patient Registration Forms
HIPAA Release Form
Sports Physical Form MD
Release of Information Form
Sliding Fee Application
Sports Physical Form WV
Privacy Policy Agreement
Sliding Fee Scale
Patient Code of Conduct

Oakland Office

1027 Memorial Drive
Oakland, MD 21550

301-533-3300

Mon-Thur 7:00 AM - 7:00 PM
Fri 7:00 AM - 5:00 PM

Grantsville Office

104 Parkview Drive
Grantsville, MD 21536

1-844-652-8735
240-428-3783

Mon & Tues 7:00 AM - 7:00 PM
Wed - Fri 7:00 AM - 5:00 PM

Westernport Office

22221 Westernport Road
SW, MD 21562

240-774-0204


Mon 7:30 AM - 7:00 PM
Tues - Fri 7:30 AM - 5:00 PM

Mountain Laurel Medical Center provides the highest quality primary health care to our Community regardless of ability to pay.

Learn More

  • Home
  • Team
  • Healthy Living
  • Events
  • Patient Forms
  • Patient Rights
  • Services
  • Resources
  • Pharmacy
  • Contact
24-HOUR PHONE SERVICE
We have a provider on call 24/7. If you need treatment for urgent, non-life threatening conditions when the office is closed, call 301-533-3300 and press option “4” to speak with our on-call primary care provider.
Privacy Policy

STAY CONNECTED

Copyright © 2017. All Rights Reserved. Powered by Willetts
  • © InsuranceCo
  • Legal
  • Privacy Statement
  • Privacy Policy
  • Terms and Conditions