New Patient Information

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.
Patient 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 pdf and Word doc formats. The buttons will be labeled accordingly under each heading. Choose which version works best with your computer.
Release of Information
Adobe pdf Word doc
Consent for Release of Healthcare Information
Adobe pdf Word doc
Medication Log
Adobe pdf Word doc
Patient Information
Adobe pdf Word doc
Office Policy on Payments and Insurance Form
Adobe pdf Word doc
New Patient Checklist
- 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
Accepted Insurance Plans
- Anthem
- Cigna
- UHC
- Medicare
- Medicaid
- Humana
- Tricare
- Aetna
- PHCS
- AARP Healthcare Options
- Medicaid / Amerigroup / Healthkeepers Plus
- Anthem / Anthem HealthKeepers
- Beech Street
- Bankers Life and Casualty 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
- Mail Handlers