Patient Guidelines and Medical Forms

Patient medical forms and patient guidelines are available to provide information about your visit. Please complete and sign all forms and bring with you to your first visit.

  • New Patient Questionnaire
  • Billing Notice
  • Authorization to Release Protected Health Information
  • Policy on Completion of Disability and FMLA Forms

New Patient Forms

HIPEC Information

Meet Our Doctors: Surgical Oncology
Dr. Vadim Gushchin - Surgical Oncology at Mercy - Baltimore
Vadim Gushchin, M.D.

Dr. Vadim Gushchin is Director of The Melanoma and Skin Cancer Center at Mercy as well as Director of Gastrointestinal Oncology. He is a skilled cancer surgeon offering expertise in gastrointestinal malignancies as well as advanced treatment options including HIPEC and robotic surgery.

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Patient Story: Primary Peritoneal Tumors
Surgical Oncology at Mercy
Helen

A Mercy patient says she believes in miracles after being diagnosed with primary peritoneal cancer and given a second chance at life.

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