Patient Information & Intake Forms | MedStar Franklin Square Medical Center| MedStar Health

Patient Information Guide

Thank you for choosing MedStar Franklin Square Medical Center. We practice a “Centered on You” philosophy of care, which means that your needs come first. Whether you are a patient or a visitor, we are committed to making your time with us as pleasant and comfortable as possible.

Here are some more documents and forms you may need to reference during your treatment at MedStar Franklin Square Medical Center.

Medical records

To request the release of your medical information, fill out our Medical Records Release Form.

Forms can be mailed to:

MedStar Franklin Square Medical Center
Attn: Health Information Management
2 North, Release of Information
9000 Franklin Square Drive
Baltimore, MD 21237

For more information, call 443-777-7270


Patient rights and responsibilities

As one of the region's leading not-for-profit healthcare systems, we are committed to ensuring all patients have complete access to quality emergency and medically necessary hospital services.

MedStar Health and its healthcare facilities will:

  • Treat all patients equitably, with dignity, respect, and compassion

  • Serve the emergency health care needs of everyone who presents to our facilities regardless of a patient's ability to pay for care

  • Assist those patients who are admitted through our admission process for non-urgent, medically necessary care who cannot pay for the care they receive

  • Balance needed financial assistance for some patients with broader fiscal responsibilities in order to keep its hospitals' doors open for all who may need care in the community

Learn more

Refer a patient - home care

MedStar Health Home Care aims to help physicians and other healthcare providers connect their patients with the home care service they need to heal and live safely at home. This webpage offers several tools and information resources to help you successfully refer a patient into MedStar Health Home Care’s care.

How to refer a patient

If your patient meets the eligibility requirements for home care services, use the tools below to complete a referral.

  • Download Patient Referral Form:

    This downloadable form includes MedStar Health Home Care’s Face-to-Face Progress Note, Home Health Orders, and a fax cover sheet. After completing this form and the Required Referral Information (outlined below) fax to: 888-862-6082.

NOTE: Please call 800-862-2166 to verify all faxed documents were received.

  • Online Referral Tools:

    Participating providers can submit referrals electronically through ECIN (Allscripts Care Management) and Curaspan eDischarge.

Patient portal

Current patients can email your MedStar Health physician, request prescription renewals, appointments, medical records, and referrals.

Log in to myMedStar

If you are a new patient, register to get started with myMedStar Patient Portal.

Enroll now