7 hours ago May 22, 2015 · Download your patient forms online through the patient portal 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, if you were not able to download them from the patient portal in advance of your appointment. >> Go To The Portal
May 22, 2015 · Download your patient forms online through the patient portal 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, if you were not able to download them from the patient portal in advance of your appointment.
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, …
Middlebrook Office. 40 Cherry Grove Road Middlebrook, VA 24459 Get Directions. 540.887.2627 540.887.0074 Secure Message via Portal. Make an Appointment. Monday 8:30 am - 5:00 pm. Tuesday 8:30 am - 5:00 pm. Wednesday Closed.
Middlebrook Family Medicine/Raphine Medical Associates is a privately-owned practice that operates in rural Middlebrook, VA and Raphine, VA. The practice was started 20 years ago and was under the ownership of University of Virginia until 2010. At that time, Dr. John Marsh purchased the practice (only the Middlebrook office was open at that time).
We are currently accepting new patients into our practice. Thank you for considering us. To become a new patient:
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
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.
You have enough on your plate. We make it easy to message your doctor, connect to on-demand virtual care, receive appointment reminders, refill prescriptions, and get care on the go. If you see more than one doctor in our network, your entire care team has access to your medical chart so we can all work together for your health.
You’re more than a set of symptoms. Privia champions lifelong health and wellness, inside and outside the doctor’s office. From pediatrics to adult needs, preventive programs to complex care, doctor’s visits to self-care at home – we’re here to support you on every step in your journey. Count on Privia for:
You can enjoy personalized care without pricey membership fees. Privia doctors take the time to listen to your concerns, from wellness programs to chronic care management.
Unlike other specialties that are limited to a particular organ or disease, family medicine integrates care for patients of both genders and every age, and advocates for the patient in a complex health care system.
PCMH is a health care setting that facilitates partnerships between individual patients, and their personal physicians, and when appropriate, the patient’s family. For more information about PCMH, please go to the American Academy of Family Physicians website: