If you are coming to the Falls Church office, you will receive an email to complete forms on-line.
If you are coming to an appointment at the Springfield office, please:
Print and Complete:
-Be sure to fill out either the Self-Pay form or the Insurance Payment Policy form. You need one or the other only.
-If you choose to have our Springfield office bill your insurance, you must fill out the Insurance Payment Policy form, as well as the HCFA 1500 form you can download here. Bring completed forms to your first appointment.