The Kidz Docs
1451 Belle Haven Road
Suite 110
Alexandria, VA 22307
(703) 765-6093     Fax (7
03) 765-7761

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An online resource center providing you with additional helpful information.

Choosing a pediatrician is an important and personal decision and we want you to feel at ease with the care you and your child will receive.

*Forms will be completed at your child's Well Child Checkup free of charge.* 

If you require a form on a different day then the date of your child's checkup, you may print the form of your choice from the links below and bring it to the front desk of our office during regular business hours.

The fee for forms completed on any date other than the date of your child's Well Child Checkup will be $25. Now included in this fee is our assistance in "snail-mailing" the form to your home or other requested location. Simply bring us an envelope along with your form and complete the address portion only. We also have blank envelopes here in the office for your convenience. We'll put a stamp on it and send it as soon as it is complete! 

*Please allow 1 day for the form to be completed by our doctors, and at least 4 business days for its arrival to your specified destination.*

You also have the option or picking up completed forms at the office.  Please allow 2 business days from the day you drop off your form to pick up your completed form.

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

Questions or Comments?
Please email us through the patient portal if your child is already a patient in our practice!  Otherwise, email us here!

Call (703) 765-6093

1451 Belle Haven Road, Suite 110
Alexandria, VA 22307