Jeri Shuster, M.D., P.A.
Jeri Shuster, M.D., P.A.
and Women's Center, Inc.
11085 Little Patuxent Pkwy
Suites 204 & 205
Columbia, MD 21044-2979

(410) 730-5700/Phone
(410) 964-3231/Fax

Contact Us
Patient Information
Julie Locklear

Julie Locklear, MA

New Patient Forms

If you are a new patient, please complete all of the forms in this section and bring them with you at your first office visit.

Established Patient Forms

If you are an established patient, please complete all of the forms in this section prior to your appointment and bring them with you to your appointment.

Returning Patient Forms

If you are a Medicare patient, please complete and sign form prior to Annual Well Woman GYN visit.

 

Note: All of the above forms require Adobe PDF reader to be installed on your computer. Please click the button below to download Adobe Reader if you do not already have it.

Click here to get Adobe Reader

 

 

Member American College of Obstretrics and Gynecology, American Board of Obstetrics and Gynecology, American Association  Ambulatory Health Care, Medicare Accredited Ambulatory Surgery Center, North American Menopause Society, National Osteoporosis Foundation, International Society for Clinical Densitometry, American Institute of Ultrasound in Medicine