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School/Camp Forms

School/Camp Forms


Daycare/School/Camp Forms


For your safety and the safety of our staff, we ask all requested forms to be mailed, faxed or emailed. You may mail your forms to 8316 Alrington Blvd., Suite 300, Fairfax, VA 22031. Our fax number is 703-280-9350 or email at frontdesk@vapg.com. Thank you for your cooperation.
Free: Forms will be completed for free if brought with the child to the Well-Check visit.

Time: Forms take from 7-10 business days (Mon-Fri) to complete.

Fees: $10 for a single page form $15 for multiple page form

Rush Fee: There will be an additional $25 fee to have a form complete within 24-48 business hours (Mon-Fri). Please complete the parent portion of the form and include payment. Rush form requests must be submitted in person or have spoken with one of our front desk staff members We will call you when the form is completed and ready for pick up. You can pick up the form, or include a self-addressed, stamped envelope and we will mail the form to you.

Thank you.
Virginia Pediatric Group