Office Information

Chesapeake Office: 612 Kingsborough Square Suite 202 Chesapeake,VA 23320



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Norfolk Office: 301 Riverview Ave Suite 520 Norolk, VA 23510


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Appointments
Because we do not accept walk-ins, please call the office to make an appointment. We require 24 hours notice of cancellation or reschedule; failure to do so will result in a $25 penalty. We make every effort to adhere to our appointment schedule and appreciate your patience in the event that we are late due to emergencies or hospital surgery.

Forms
Please print and fill-out these forms, with as much detail as possible, prior to your first appointment. Please sign and date all forms. This will help expedite the registration process. Thank you.

New Patient Forms

• New Patient Registration Forms


   • Patient Information

   • Assignment of Benefits

   • Notice Of Privacy Practices

   • Health History Form

   • Narcotic Prescription Policy





Surgical Pre-Op Forms

• Download Pre-Surgical Medication List

• Download Patient Questionnaire



Fees & Insurance
Our fees are based on what is usual and customary for this area. Payment for services rendered is expected at the time of service. As a courtesy to you, we accept Medicare assignment and most insurance plans and will bill your insurance company. However, you will be responsible to pay for any co-pay, coinsurance and/or deductible on the day of your visit. Payment arrangements can be made by calling our business office at (877) 269-8434. You remain responsible for any unpaid portion of your bill. Please ask our office staff if you have any questions about our fees or to confirm our participation in your insurance plan.

Prescriptions & Renewals
Please request all prescriptions and authorizations for renewals between 8:30am - 4:30pm, Monday to Friday, when our full records are available.