Become a New Patient

We are currently accepting new patients into our practice. Thank you for considering us. To become a new patient:

Please call (703) 673-0171 to make an appointment
Prior to your visit, we request you that you complete some initial forms, including an Authorization and Consent for Treatment form.

To make sure there are no delays in care during your first visit experience, please complete and submit any requested forms 24 hours ahead of your scheduled appointment to ensure your registration is complete before meeting with your new provider.

Remember to bring:

Your insurance card
Valid photo ID
List of current medications
Office co-pay

In an effort to respect the time of all of patients, our staff strives to stay on schedule so that other patients do not have to wait.

For patients who arrive over 15 minutes after their scheduled visit, your appointment may need to be rescheduled.

Patient Forms

Authorization for Release of Medical Information (PDF) - Allows patients to authorize the disclosure of their health information to a designated individual, company, agency, or facility. Autorización De HIPAA Para Divulgar Información Del Paciente

Authorization and Consent for Treatment (PDF) - All patients must provide their consent for treatment, communications (calls, emails, and text messaging), and agreement of financial responsibility. Autorización y Consentimiento Para el Tratamiento

Preferred Contacts (PDF) - Patients are encouraged to complete and return the Preferred Contacts Form but it is not required. Contactos Preferidos

Virtual Visit Policy (PDF) - This policy describes the process for the documentation, maintenance, and transmission of information using virtual visit technology.

Office Policies

Financial Policy (PDF) - This form advises patients of their complete financial responsibility for all medical services received without regard to insurance eligibility or coverage determinations. Política Financiera (PDF)

Notice of Privacy Practices (PDF) - Describes how health information about you (as a patient of this Care Center) may be used and disclosed, and how you can get access to your individually identifiable health information. Please review this notice carefully. Aviso de prácticas de privacidad (PDF)

HIPAA Privacy Notice