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