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.

 

Midlothian Family Practice

Forms & Registration

 

The following set of PDF 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.

 

Authorization for Records Release     

 

New Patient Registration  

 

Consent for Treating a Minor

Make a Secure Online Payment

 

To make a payment, please enter the Patient Account Number and Patient Name in the box and click the “Pay Now” button. You will be directed to our secure payment page. Thank you!

 

 

Patient Account Number/Name: “123456/John Doe”

Virginia Physicians Patient Portal

 

Click Here to Log In

 

 

Locations

 

Village

 

Waterford

 

Powhatan

 

Westchester