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 – Midlothian Family Practice – Powhatan

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. If you have any questions, please call our office at (804) 598-2965 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 Records Release


New Patient Registration


Consent for Treating a Minor