8206 Leesburg Pike, Suite 309
Vienna VA 22182

Patient Forms / FAQ

New Patient Intake Form – Click to view and print

Will my treatment be covered by insurance?

We currently contract with the following insurance companies:

  • Blue Cross Blue Shield
  • Blue Cross Blue Shield Anthem
  • Blue Cross Blue Shield Carefirst
  • Federal Blue Cross Blue Shield
  • United Health Care
  • Aetna

For the above insurances, we will file all claims and collect only your co-pay/coinsurance once your deductible has been reached.

Patients without the above insurance are responsible for payment at the time of service. If you have other insurance with benefits, we will be glad to provide a receipt that you can send to your insurance company for reimbursement.

We do not participate in Medicare.