Virginia Physicians, Inc.

Virginia Physicians, Inc.
Corporate Office Building
4900 Cox Road, Suite 155
Glen Allen, VA 23060

Administrative Phone Numbers:
Office: (804) 726-8571
Fax: (804) 726-8574

Administrative Office Hours:
Monday through Friday:
8:30 a.m. to 5:00 p.m.


Patient Forms – Cold Harbor Family Medicine

The following set of forms are available for download as a convenience to our patients. You may download, save, and print these forms and complete them prior to your appointment in order to speed up your visit and minimize your wait times. If you have any questions, please call our office at (804) 730-1111 and we will be happy to answer them. Click on the links below to initiate download or save the files to your computer:


Authorization for Release of Medical Records (PDF)


Medical History Form (PDF)


Medicare Annual Wellness Checkup Form (PDF)


Patient Registration Form (PDF)