EXISTING PATIENTS
To make an appointment call (703) 573-2432 (Option 2)
or
Log on to the Patient Portal to message a request
or
Make an appointment request by filling out the form below (a staff member from our scheduling department will contact you back for appointment confirmation).
You can call to make an appointment from 7:00 am to 5:00 pm on Monday through Friday, and from 7:00 am to 1:00 pm on Saturday. We do not have walk-in hours.
NEW PATIENTS
Welcome to our practice! Prior to your first appointment, please review the following information about registration forms to be completed at or prior to your first visit, hospitals, insurance, billing, and appointment cancellation policy. If your child is under age 18, he or she must be accompanied by a parent or guardian. A signed note is required from the parent permitting the child to be seen at the appointment with another responsible adult. To save time, you may print, complete, and bring the following forms to your first visit.
Registration Forms:
- Click here for the Registration Form
- Click here for the New Patient Pre-Visit Questionnaire
- HIPAA/Privacy Practices Policy
- Acknowledgment of Receipt of HIPAA Policy
- Authorization for Disclosure
- Medical Records Release Authorization Form
Hospital Affiliations:
Our physicians are on the staff of:
- Inova Children's Hospital, Falls Church, VA
- Reston Hospital Center, Reston, VA
- Inova Fair Oaks Hospital, Fairfax, VA
Insurance:
Click here to review VPG accepted insurances
Billing:
Click here for billing information
Appointment Cancellation Policy: