New Patient
Making an appointment
To make an appointment you can call us during our regular business hours of 8:00am- 5:00pm Monday through Friday at 703-491-5600.
Forms
We want to provide you with excellent service! To help you prepare for your first visit we recommend you print, complete, and bring these forms with you to your first visit. For your convenience we have the forms in both Adobe and Word. The red icon is Adobe and the blue icon is Word format. Choose which version works best with your computer.
- Release of Information Release of Information Release of Information
- Consent for Release of Healthcare Information Consent for Release of Healthcare Information Consent for Release of Healthcare Information
- Medication Log Medication_Log Medication_Log
- Patient Information Patient Information Patient Information
- Office Policy on Payments and Insurance Form Office Policy on Payments and Insurance Form Office Policy on Payments and Insurance Form
- Be sure to arrive 15 minutes prior to your appointment
- Valid photo identification card Driver licensees passport
- Insurance card
- Be sure to bring all paperwork from referring physician:
- All surgical pathology reports pertaining to diagnosis
- Latest lab work: especially blood counts
- Any previous films and reports: PET scans, CT scans, MRI, X-ray, Mammogram
- Any previous chemotherapy/radiation treatment notes
- Physician’s progress notes
- We will do our best to request these items, but if you have them ready for us, this will greatly expedite your care.
- Co-pays are to be paid at the time of your appointment
- Please inform of insurance changes
- Anthem
- Cigna
- UHC
- Medicare
- Medicaid
- Humana
- Tricare
- Aetna
- PHCS
- AARP Healthcare Options
- Medicaid / Amerigroup / Healthkeepers Plus
- Anthem / Anthem HealthKeepers
- Beech Street
- Bankers Life and Causalty Company
- Optimum Choice
- MDIPA
- Tricare / Tricare for Life / Tricare Prime
- Mutual of Omaha
- Preferred Health Plan
- Teamsters Local Employers
- United Healthcare
- Compass Rose Health Plan
- GEHA
- Golden Rule Life Insurance
- Great West Life
- Mailhanflers