All new patients are requested to complete and return a welcome packet to our office prior to scheduling any appointments. Once we receive the packet, our office will call to schedule an initial appointment. Your initial visit to Stephens City Family Medicine will establish a foundation for our relationship with you. During your first visit to Stephens City Family Medicine, we make sure to obtain important background information, such as your medical history, and give you time to get to know your doctor.
Patient Forms
When you’re in need of a family doctor, you want your experience to be as convenient as possible. That’s why we at Stephens City Family Medicine have compiled a series of patient forms to help expedite your first visit. Please print the following forms and fill them out before your scheduled appointment.
Please print and fill out these forms so we can expedite your first visit:
- New Patient Welcome Packet for Adult Patients 18 years and older
- New Patient Welcome Packet for Pediatric Patients under the age of 18 years
By popular demand, we have put together a list of insurance plans we are in-network with. We hope this list will helpful to our patients when shopping for new insurance plans. This information is subject to change, but we will do our best to keep it current. As a courtesy, we will file all insurance claims for our patients both in-network as well as out-of-network.
Notice regarding Anthem Healthkeepers: Our providers are NOT in-network with ANY Anthem Healthkeepers products. In addition, the office does not file medical claims with Anthem Healthkeepers, as patients with Anthem Healthkeepers products are treated as a self-pay. Patients who wish to file a member medical claim directly to Anthem Healthkeepers for possible reimbursement may request an itemized bill. Please keep in mind, basis for reimbursement of covered services under a member’s Anthem HealthKeepers Plus benefit plan.
In order to view or print these forms you will need Adobe Acrobat Reader installed.
Location and Directions
What to Expect
Being well-prepared for your appointment at Stephens City Family Medicine will ensure that your doctor has all of the needed information to provide the best possible care for you.
Feel free to take some time to review our Staff page and familiarize yourself with our doctors. We look forward to your first visit.