New Patient Registration

Before we can schedule your first appointment, you will need to register as a new patient in the practice.  Please complete and return the following documents-

New Patient Registration form (PDF) – click here 

Medical History form (PDF) – click here

New Patient Letter (PDF) – click here

 

Fax:  410-778-9579

Mail: Drs Shanahan and Ferguson PC    120 Speer Road, Bldg B, Chestertown, Maryland 21620