If your child needs to see a specialist, follow these instructions to process a referral:

  1. Determine if your insurance company requires you to have a referral for the problem that your child has. PPOs do not need referrals.
  2. Obtain approval from your PCP (clinician) for the referral.
  3. Make an appointment with the specialist.
  4. Click on Referral Request form below, input the information requested, and click on submit.
  5. It takes approximately 5 - 7 business days to process your referral. Most referrals are now electronic, so there is no hard copy. Your specialist will receive the referral via fax.
  6. Alternative to submitting the form online, you can call the Virginia Pediatric Group referral line at and leave us all information required.


To contact referral department Call (703) 573-2432 Option 7 or

Click Here For a Referral Request Form


Phone: 703-573-2432

Fax: 703-280-9350




Fairfax Office


Prosperity Plaza

3020 Hamaker Ct.

Suite 200

Fairfax, VA 22031

Phone: (703) 573-2432

Fax: (703) 280-9350


Herndon Office


Reston/Herndon Center

131 Elden St.

Suite 312

Herndon, VA 20170

Phone: (703) 573-2432

Fax: (703) 280-9350


Great Falls Office


737 Walker Road

Suite 4

Great Falls, VA 22066-2833

Phone: (703) 573-2432

Fax: (703) 280-9350


South Riding Office


25055 Riding Plaza

Suite 290

South Riding, VA 20152

Phone: (703) 573-2432

Fax: (703) 280-9350