Patient Information

New Patient Information

All new patients will need to complete the New Patient Information and HIPA Authorization Form. Click here to download and get the paperwork started. Bring the completed and signed forms to your first appointment.

Gynecologic and Aesthetic appointments can be made by calling (757) 481-4036

Insurance & Fees

The following is the list of insurances with which we participate. This will be updated from time to time as needed:

• Aetna Commercial/Medicare

• Anthem BCBS

• Cigna Healthcare

• HealthNet Federal Services (HNFS) Tricare

• Humana

• Humana Military Tricare

• Medicare – Palmetto GBA – VA

• Multiplan/PHCS

• Optima

• Railroad Medicare Virginia

• United Healthcare

• Virginia Health Network

Note: You should always check with your health insurance provider to verify plan and product coverage as this is not an exhaustive list, and plans change frequently.

Payment Options

We accept cash, Visa, Mastercard, Discover, American Express, and personal checks.

Fees

No Shows

Missed Appointment $50

Missed Physical $100

Late Cancellation $50

No-Show $50

Missed Procedure $200

Out-Of-Network

New Patients: Total Charge or Minimum $200 Deposit

Established Patients: Total Charge or Minimum $150 Deposit

Self-Pay

New Patients: Total Charge or Minimum $200 Deposit

Established Patients Total Charge or Minimum $150 Deposit

Procedures: Total Charge or Minimum $200 Deposit