The following are forms you will need to complete prior to checking in for your appointment. Please take a moment to print off the forms and complete them before you come to our office so that we may process your information and complete your check-in quickly. Remember to always present your insurance card when checking in for your appointment, and to have a complete list of all medications – both prescription, over-the-counter, and vitamins and health or nutritional supplements – for your provider to review at your appointment.
- Patient Centered Medical Home Form
- New Patient Request Form
- Bone Density Form
- Consent To Release Information Form
- Patient Demographics Form
- Patient Policies Form
- Appointment Letter Form
- Vaccination Form
We are pleased to welcome new adult primary care patients to our practice. New patients should contact our office at 434.455.5538 to schedule an appointment. Please be prepared to provide personal information such as your current medications, insurance, and social security number. Our scheduling staff will inform you of the necessary information you will need to bring with you to your appointment. We look forward to serving your health and wellness needs.
We currently do not accept new Medicaid patients to our Internal Medicine practice (adult primary care); however, we may accept Medicaid patients for select specialties. Medicaid patients seeking adult specialty care offered by our practice should please call to see if there is an opening available.