Forms

New Patients:  Please download the appropriate history form and fill out prior to your appointment.

Use this form for New Patients coming for Bioidentical Hormones:

Bioidentical Hormone History Form – Women

Biodentical Hormone History Form – Men

Use this form for all other New Patient Visits:

General Medical History

Existing patients are welcome to book appointments online.

Click the following link to Request An Appointment Online

Please be aware that all appointment requests must be approved.

Each appointment request is for a 30 minute appointment.  If you want to request an hour appointment please request two appointment slots.

New Patients please call to set up a new patient appointment.

New Patients or Existing Patients call to request an appointment at (410) 560-7404

or email us at info@waynebonliemd.com

 

Wayne Bonlie, M.D.
30 East Padonia Road, Suite 305
Timonium, MD  21093
(410) 560-7404
info@waynebonliemd.com