First Time to Our Office?
When you come to our office for the first time as a new patient, we'll ask you to complete some initial forms, including an Authorization and Consent for Treatment form.
Remember to bring:
- Your insurance card
- Valid photo ID
- List of current medications
- Office co-pay
In an effort to respect the time of all of patients, our staff strives to stay on schedule so that other patients do not have to wait.
Patient Forms
Authorization for Release of Medical Information (PDF) - Allows patients to authorize the disclosure of their health information to a designated individual, company, agency, or facility. Autorización De HIPAA Para Divulgar Información Del Paciente
Authorization and Consent for Treatment (PDF) - All patients must provide their consent for treatment, communications (calls, emails, and text messaging), and agreement of financial responsibility. Autorización y Consentimiento Para el Tratamiento
Preferred Contacts (PDF) - Allows patients to indicate person(s) with whom information can be shared. Contactos Preferidos
Consent for Medical Treatment of Minor (PDF) - Allows parent(s) or legal guardian to authorize care for their minor child(ren) in their absence.
Virtual Visit Policy (PDF) - This policy describes the process for the documentation, maintenance, and transmission of information using virtual visit technology.
Office Policies
Financial Policy (PDF) - This form advises patients of their complete financial responsibility for all medical services received without regard to insurance eligibility or coverage determinations.
Notice of Privacy Practices (PDF) - Describes how health information about you (as a patient of this Care Center) may be used and disclosed, and how you can get access to your individually identifiable health information. Please review this notice carefully. Aviso de prácticas de privacidad (PDF)
In Need of a Primary Care Physician?
While Walk-In-Care is a great alternative for care when you experience a non-life threatening emergency, it should not replace your primary care physician.
Walk-In-Care is associated with Central Virginia's largest local primary care provider in the area. CVFP Medical Group is an established independent practice with seven regional primary care offices, two immediate care facilities, a main lab, diagnostic center, and student health center. We are committed to our vision of serving our patients and being a positive change in healthcare by delivering high-quality, cost-effective healthcare services while also providing a great patient experience.
Click the logo below or visit cvfp.net to learn more and to schedule an appointment today.
Convenience in the Palm of Your Hand
Experience even more convenience right in the palm of your hand! The Walk-In-Care app is available on both Google Play and the Apple App Store! Download it today!
