New Patients


 

During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. We accept most insurances.

Patient Forms

Please print and fill out the New Patient forms so we can expedite your first visit.

 New Patient Forms

 New Patient Forms (Spanish)

 HIPAA

 Office Policy

 Office Policy (Spanish)

 Update Patient Information

Other

 Request for Release of Medical Records

 Orthotic Reorder Form

Please arrive early so that we can complete your initial paperwork. Also, please bring the following:

  • Patient's insurance card
  • List of current prescriptions and/or over-the-counter medication, including dose and frequency
  • Information about patient's medical and surgical history
  • Recent test results, x-rays, or relevant records

Insurance and Payment Information

You are responsible for co-payments or charges that are not covered by your insurance. If you have questions regarding billing or which insurance plans we accept, please call or text (703) 370-2313. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

Location
Landmark Foot and Ankle Center
5249 Duke Street, Suite 212
Alexandria, VA 22304
Phone: 703-639-4354
Fax: 703-370-2490
Office Hours

Get in touch

703-639-4354