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Fishersville
17 N Medical Park Drive
540.213.7720
Waynesboro
425 South Linden Avenue
540.213.7720
Staunton
1500 Commerce Road
2010 N. Augusta Street
540.213.7720
Stuarts Draft
2927 Stuarts Draft Highway
540.213.7720
Charlottesville
620 Berkmar Circle
434.220.3420
Lexington
62 Hill Top Lane
540.463.4140

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Fill out your paperwork in advance

In efforts to make your appointment as efficient as possible, you now have the option to fill out your paperwork in advance.
You can either fill it out online or print it and bring it with you to your appointment.


Option 1: Fill Out Your Form Online

For PC Users - Please link to here to fill out your form. Internet Explorer is the preferred browser for completing this application.
For Mac Users - Please link here to download the form. Open in Adobe Acrobat and complete.

Option 2: Download and Print Form Here

Bring with you to your appointment or mail to the appropriate office above.

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