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.


Hanover Family Physicians – Patient Forms

The following set of PDF forms named ‘New Patient Forms’ are available for download as a convenience to our patients. You may download, save, and print these forms for your reference or handwritten completion 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- 0990 and we will be happy to answer them. Click on the links below to initiate  download or save the files to your computer:


New Patient Forms (PDF)


Authorization for Release of Medical Records (PDF)


Authorization for Treatment of Minors (PDF)