Release of Information

If you have any trouble submitting this form, please download and print the pdf and fax it to us at (703) 530-9805. Download


Authorized Personnel

I understand that I may revoke this consent at any time by providing written notice, and after one year this consent automatically expires. I have been informed what information will be given, its purpose, and who will receive the information.


Office Hours


Monday – Thursday 9 AM – 7 PM

Friday By Appointment Only

Saturdays  8 AM – 3 PM


*Times are subject to change.  Please contact our office with your scheduling questions.


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