Forms & Policies

The following documents may be printed out and returned to our office via mail or fax to (703) 370-2843. Medical release forms for transfer patients must be sent or faxed to the patient's previous practice. Additional documents are for informational purposes only.

Medical Faculty Associates (MFA)

• Cancellation Policy
• OSHA Testing Consent
• Insurance Disclaimer and Waiver
• Privacy Notice
• Privacy Acknowledgement (ENG)

Administrative

• Patient Record of Disclosures
• New Patient and Annual History Form
• Authorization for Release of Medical Records

Health

• Management of PMS
• Iron Supplements

Surgery

• LEEP Instructions
• Surgery Instructions
• Surgical Consents

Pregnancy and Postpartum

• Pregnancy Instructions
• Post Partum Information
• Labor Instructions
• Prenatal Genetic Screen

All forms are in Adobe PDF format. If your system is having trouble opening PDF documents, a free viewer can be downloaded from the Adobe website.