Caveats & Declarations

Although we believe the information on this site to be accurate and timely, because of the rapid advances in the field of orthopaedic surgery and our reliance on information provided by outside sources, we make no warranty or guarantee concerning the accuracy or reliability of the content at this site or other sites to which we link. When clinical matters are discussed on this website, the opinions presented are those of the discussants only. The material discussed on the website is not intended to present the only or necessarily the best orthopaedic method or procedure, but rather presents the approach or opinion of the discussant. This website and the information, software and other material available on or accessible from this website is provided on an "as is" and "as available" basis without warranties of any kind, expressed or implied, including but not limited to warranties of title, noninfringement or implied warranties of merchantability or fitness for a particular purpose. COR does not warrant that the website service will be uninterrupted or error free or that any information, software or other material available on or accessible through the website is free of viruses, worms, trojan horses or other harmful malware.

No Liability or Other Damages

Under no circumstances shall COR be liable for any direct, indirect, incidental, special, punitive or consequential damages that result in any way from your use of or inability to use this website, your reliance on or use of the information, services or merchandise provided on or through this website, or that result from mistakes, omissions interruptions, deletion of files, errors, defects, delays in operation, or transmission or any failure of performance. COR specifically disclaims any and all liability for injury and/or other damages that result from an individual using techniques discussed on the website, whether a physician or any other person asserts these claims.

Copyright Information

Creative Commons License
COR Forms and Information Sheets by Capitol Orthopaedics & Rehabilitation, LLC is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 3.0 United States License.
Based on a work at cordocs.com

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Use and disclosure of protected health information

PATIENT ACKNOWLEDGEMENT AND CONSENT FORM

Acknowledgment of notification

The educational pamphlet entitled "Notice of Privacy Practices" provides information about how Capitol Orthopaedics and Rehabilitation, LLC may use and disclose protected health information about you, and is compliant with the requirements of the Health Insurance Portability and Accountability Act of 1996 "HIPAA".

Our Notice of Privacy Practices states that we reserve the right to change the terms described.  Should this happen, you will be notified on your next visit to our office. You have the right to request restrictions on how your protected health information may be used or disclosed for treatment, payment, or health care operations.  We are not required to agree to your restrictions; but if we do, we are bound by our agreement with you.

By signing below, you acknowledge receipt of our Notice of Privacy Practices

Patient Signature Date
Please sign here…

 

 

  1. Respectful care given by competent personnel.
  2. Consideration of your privacy concerning your own medical care.
  3. The name of all physicians and/or staff directly assisting in your care.
  4. Have medical records pertaining to your medical care treated as confidential (except as required by law or third party contractual agreement).
  5. Know what rules and regulations in our practice apply to your conduct as a patient.
  6. Expect emergency procedures to be implemented without delay; if there is a need to transfer you to another facility, the responsible person and the facility will be notified of your condition prior to your arrival.
  7. Good quality care and high professional standards that are continually maintained and reviewed.
  8. Full information in layman's terms concerning diagnosis, treatment, prognosis, and possible complications.
  9. Give an informed consent to the physician prior to the start of the procedure. Refuse drugs or procedures and have a physician explain the medical consequences of your refusal.
  10. Medical and nursing services without discrimination based upon age, race, color, religion, national origin, handicap, disability or source of payment. Have access to an interpreter whenever possible.
  11. Access to all information contained in your medical record unless access is specifically restricted by your attending physician for medical reasons or is prohibited by law.
  12. Expect good management techniques to be implemented that consider effective use of your time and to avoid unnecessary discomfort.
  13. Examine and receive a detailed evaluation of your bill.
  14. Be informed at your request of your provider's credentials.

We recognize that you have a choice for health-care services, and we are grateful that you have chosen us as your provider.

For more information or to report a problem:

If you have questions or would like additional information, please contact the HIPAA policy officer for this practice. If you believe your privacy rights have been violated, you may file a written complaint with the Secretary of Health and Human Services. There will be no retaliation for filing a complaint.

News Highlights

COR Doctors Listed In Washingtonian's Top Doctor List For 2016

09 August 2008

Dr. Rockower and Dr. Barkin:  Washingtonian's "TOP DOCTORS"  again for 2016, 2014, 2012 and 2010! Dr. Grossman was also a "Top Doc"

Congress Has FINALLY Changed Cuts Medicare Payments To Doctors

10 August 2008

April 2015 -  The SGR has finally been fixed and updated!  We have spent innumerable hours working on this in Washington.  We were "down" for 2 weeks at the beginning...

Mike Tabasko a Winner!

20 April 2012

Our own Mike Tabasko, PT recently won a major bicycle race in New York, the "Tour of the Battenkill".  He is an avid Biker, and we are VERY proud of...

Maryland FREE Rx Card

25 June 2012

Maryland Free Rx Card Click Here for the FREE card

New Physical Therapists

29 September 2012

We are pleases to announce the addition of two additional Physical Therapists to our staff:   Suzanne Niksheresht and Gina Stewart.  They are both well trained, personable and fine additions...

AffordableCareAct

30 September 2013

On October 1, 2013 (whether or not the Government shuts down) The new Health Care Exchenges will open for individuals in Maryland.  MedChi, the Maryland State Medical Society, has been...

COR In The Media

21 January 2014

Dr. Stephen Rockower and Dr. Marc Grossman were recently featured on the Montgomery County Cable Network's health show, Housecall, hosted by Dr. David Doman.  

ALS Run

18 March 2014

On April 5th, Billing Supervisor, Elysia Mathias, will be participating in a 5.7 K run fundraiser in Baltimore through the Brigance Brigade to benefit patients with Amyotrophic Lateral Sclerosis. ALS,...

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About Our Offices

Our Doctors

Neil J. Barkin, MD, FAAOS*Ω
Stephen J. Rockower, MD, FAAOS*
Victor A. Wowk, MD, FAAOS
Christina L. Cervieri, MD, FAAOS
Victoria A. Lilling, MD

In Association with: Marc J. Grossman, MD, PC

* Certified Board of Orthopaedic Surgeons and Fellows of The American Academy of Orthopaedic Surgeons

ΩNo longer performing surgery

Office Hours:

Monday through Friday: 8:00 am – 5:00 pm
Saturday: Closed
Sunday: Closed

 

Phone Numbers:

  • 301 770-7900 Main
  • 301 938-6256 After Hours Emergency
  • 301 770-8993 PT
  • 301 770-7904 Fax
  • 301 770-1300 PT Fax
For Dr. Rockower or Dr.Wowk:

New Patient Forms

Downloads: 1042

Please download and complete this form that details your insurance and contact information, then ...

Downloads: 968

Your medical history form. Please download and complete this form then bring it with you to your ...

Downloads: 399

Preferred Registration Form. Use this FIRST

Downloads: 339

Preferred History Form. Use this FIRST!

Pay Your Bill Here

Please use the button below to make a payment for Capitol Orthopaedics OR to Dr. Grossman. You will be taken to a secure page from which you can use a credit card, We are no longer using PayPal.  Be sure to include your account in the box belowYOU MAY GET A RETURN EMAIL FROM CORDOCS.COM TO VERIFY YOUR IDENTITY.  BE SURE TO RESPOND, OR WE WON'T RECEIVE YOUR PAYMENT!!!

 

COR Account Number:

 

Grossman Account Number:

Convenient Locations

Capitol Orthopaedics & Rehabilitation, LLC

  • 6000 Executive Blvd, Suite 510, Rockville, Maryland 20852
  • 9701 New Church Street, Suite D, Damascus, MD 20872
  • Phone numbers for both offices:

301-770-7900 (Appointments)
301-770-8993 (PT Appointments)