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Appointment
Scheduling
Contact Us
Online
Click on the link below to request an
appointment
online. Once we've received your request, we will phone you with
your exact appointment date and time.
Call Us
To
schedule an appointment, you may call
either our Woodbridge or Stafford
office. Our offices are open Monday through Friday from 8am - 5pm.
Email Us
You may email
us
to schedule an appointment. We will make every effort to
accommodate your request, however, please provide us with more than one
date and time. If you do not receive a response within 24 hours,
please call
our office.
Cancel an
Appointment
If you
need to cancel your appointment, please call
our office. If you call after
business hours, you may leave a message on our non-emergency
line. Cancellations must be made at least 24 hours in
advance. Late cancellations may be charged a cancellation fee.
Patient Forms
Prior to your appointment, you may download our Patient
Registration
form, a History
and
Physical form, a Verbal
Consent Form, an HIV
Consent
form, our Financial
Policies and Procedures and our HIPAA
Privacy Notice.
Please fill out the forms completely and bring the following with you
to your appointment:
- Patient
Registration
Form
- History
and Physical
Form
- Verbal
Consent Form
- Notice
of Deemed
Consent/HIV Form
- Your
Insurance
Card (if you have insurance)
- Your
copay/payment: We accept cash, checks, Visa, Mastercard,
Discovery, American Express and Debit Cards
Keep the
Financial Policies
and Procedures along with the HIPAA Privacy Notice for your records at
home.
Home
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Us | Services
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Staff | Locations
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| Contact
http://adlercenter.com
| admin@adlercenter.com
Woodbridge
703-680-5327
|
Stafford
540-659-0928
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