New Patient Information
Welcome! We’re looking forward to a lasting partnership with you!
As you might expect, there’s paperwork to do. You’ll save time on your first visit if you take a few minutes now to gather the items you’ll need for that first appointment as a new patient. If it’s convenient, you can complete the necessary forms online, print them and bring them with you to our office, or fax the forms to 804.897.9074. In any case, please plan to arrive 30 minutes before your scheduled appointment to complete your registration.
Please be aware that there is a $25 No-Show fee if you fail to notify us that you will be unable to keep your appointment.
New Patient Paperwork
Mammography Release Form
Please Note: If the patient is under 18 years of age, a parent or other financially responsible party MUST sign all forms prior to the patient’s appointment. The patient should bring these signed forms with them to their appointment and present them at check-in.
By law, minors may come to VPFW without parental consent for the following services: pregnancy, birth control and STI testing and treatment.
Just one more thing… If you were referred to VPFW by another physician, or you are a new patient with us, please have your physician send a copy of your medical records to our office 10710 Midlothian Turnpike, Suite 200 Richmond, Virginia 23235, or fax to 804-897-9074.