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

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View the KidsDoc Symptom Checker from HealthyChildren.org

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.

If you are a new patient to our practice, you can print out our registration form from the link below and bring the completed form with you at at the time of your first visit. 

*School/day care/camp/sports physical forms will be completed at your child's well child checkup free of charge.* 

The fee for forms completed on any date other than the date of your child's well child checkup is $25.00 for the first 2 forms, and $10.00 for each additional form.

There are links to the most common forms below.

If you require a form on a different day than the date of your child's checkup, you may send it to us via one of the following ways:

1) You can email the ENTIRE form, with all parent sections filled out, including medications, to: [email protected].  We will then email the completed form back to you within 48 hours.

2) You can fax the ENTIRE form, with all parent sections filled out, including medications, to: 703-765-7761.  We will then fax the completed form back to you within 48 hours.

2) You can drop off the ENTIRE form, with all parent sections filled out including medications, at the front desk of our office during regular business hours.  If you want to pick up the completed form at the office, please allow 2 business days from the day you drop off your form to pick up your completed form.  We can also "snail-mail" 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 will put a stamp on the envelope and send it as soon as it is completed.  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.  

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