Office alert: Edit this message to tell patients about a closure, weather delay or change in hours.
Office alert: Edit this message to tell patients about a closure, weather delay or change in hours.
Office alert: Edit this message to tell patients about a closure, weather delay or change in hours.
Office alert: Edit this message to tell patients about a closure, weather delay or change in hours.
Please review and complete the forms below before your visit to Vista Medical Center. The links open the latest version of each form from Privia Medical Group, so you always have the current copy. You can bring completed forms to any of our offices in Crystal City, North Arlington or Annandale. Questions about coverage? See our insurance page or self-pay options.
Describes how health information about you, as a patient of Vista Medical Center, may be used and disclosed, and how you can get access to your individually identifiable health information. Please review this notice carefully.
Allows patients to authorize the disclosure of their health information to a designated individual, company, agency or facility.
All patients must provide their consent for treatment, communications (calls, emails and text messaging) and agreement of financial responsibility.
Patients are encouraged to complete and return the Preferred Contacts Form, but it is not required.
Advises patients of their complete financial responsibility for all medical services received, without regard to insurance eligibility or coverage determinations.
Free language assistance and information about our nondiscrimination policy for patients who need help in a language other than English.
Use the MyPrivia patient portal to view test results, message your care team and manage your health information online.
TESTING
ILLNESS & INFECTION
INJURIES & WOUNDS
PHYSICALS & CLEARANCE