INSURANCES
ACCEPTED
Aetna
Alliance
Anthem Blue Cross Blue Shield, Participating and PPO
CIGNA Health Care Mid Atlantic, including the Cigna Care Network
United HealthCare Company (Optimum Choice, MDIPA, MAMSI Life & Health)
OneNet
PPO
Southern Health
CareFirst Blue Cross Blue Shield of the National Capitol Area,
including Blue Choice HMO and Federal Employment Program
NCPPO - National Capital PPO, Healthlink
We are not participating with:
Medicare
Medicaid
Tricare
PHCS
If your insurance provider is not listed, please call our
office to confirm coverage. 703.359.5900
Click to view our OFFICE POLICIES
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For your convenience
please click to download the following PATIENT FORMS
(If possible,
please print and complete before your visit)
NEW PATIENT INFORMATION
FORMS
• New
Patient Reg & Medical History (3
p)
• Annual
Patient Registration
• HIPAA Privacy Form
ESTABLISHED PATIENT FORMS
• Annual
Patient Registration
• HIPAA Privacy Form
OB RELATED FORMS
• OB
Fact Sheets (2 p)
• Food
Safety in Pregnancy
• Medications
in Pregnancy
• Umbilical
Cord Blood Banking
• Postpartum
Information (3 p)
RECORD REQUEST FORM
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