Home / About / Patient Forms

Patient Forms

Home / About / Patient Forms

SCHEDULE A
CONSULTATION

CONTACT US

FREE VEIN SCREENING

703-560-1075

BOOK ONLINE (703) 560-1075

.wp-block-button__link{color:#fff;background-color:#32373c;border-radius:9999px;box-shadow:none;text-decoration:none;padding:calc(.667em + 2px) calc(1.333em + 2px);font-size:1.125em;}.wp-block-file__button{background:#32373c;color:#fff;text-decoration:none;}body{--wp--preset--color--black:#000;--wp--preset--color--cyan-bluish-gray:#abb8c3;--wp--preset--color--white:#fff;--wp--preset--color--pale-pink:#f78da7;--wp--preset--color--vivid-red:#cf2e2e;--wp--preset--color--luminous-vivid-orange:#ff6900;--wp--preset--color--luminous-vivid-amber:#fcb900;--wp--preset--color--light-green-cyan:#7bdcb5;--wp--preset--color--vivid-green-cyan:#00d084;--wp--preset--color--pale-cyan-blue:#8ed1fc;--wp--preset--color--vivid-cyan-blue:#0693e3;--wp--preset--color--vivid-purple:#9b51e0;--wp--preset--gradient--vivid-cyan-blue-to-vivid-purple:linear-gradient(135deg,rgba(6,147,227,1) 0%,#9b51e0 100%);--wp--preset--gradient--light-green-cyan-to-vivid-green-cyan:linear-gradient(135deg,#7adcb4 0%,#00d082 100%);--wp--preset--gradient--luminous-vivid-amber-to-luminous-vivid-orange:linear-gradient(135deg,rgba(252,185,0,1) 0%,rgba(255,105,0,1) 100%);--wp--preset--gradient--luminous-vivid-orange-to-vivid-red:linear-gradient(135deg,rgba(255,105,0,1) 0%,#cf2e2e 100%);--wp--preset--gradient--very-light-gray-to-cyan-bluish-gray:linear-gradient(135deg,#eee 0%,#a9b8c3 100%);--wp--preset--gradient--cool-to-warm-spectrum:linear-gradient(135deg,#4aeadc 0%,#9778d1 20%,#cf2aba 40%,#ee2c82 60%,#fb6962 80%,#fef84c 100%);--wp--preset--gradient--blush-light-purple:linear-gradient(135deg,#ffceec 0%,#9896f0 100%);--wp--preset--gradient--blush-bordeaux:linear-gradient(135deg,#fecda5 0%,#fe2d2d 50%,#6b003e 100%);--wp--preset--gradient--luminous-dusk:linear-gradient(135deg,#ffcb70 0%,#c751c0 50%,#4158d0 100%);--wp--preset--gradient--pale-ocean:linear-gradient(135deg,#fff5cb 0%,#b6e3d4 50%,#33a7b5 100%);--wp--preset--gradient--electric-grass:linear-gradient(135deg,#caf880 0%,#71ce7e 100%);--wp--preset--gradient--midnight:linear-gradient(135deg,#020381 0%,#2874fc 100%);--wp--preset--font-size--small:13px;--wp--preset--font-size--medium:20px;--wp--preset--font-size--large:36px;--wp--preset--font-size--x-large:42px;--wp--preset--spacing--20:.44rem;--wp--preset--spacing--30:.67rem;--wp--preset--spacing--40:1rem;--wp--preset--spacing--50:1.5rem;--wp--preset--spacing--60:2.25rem;--wp--preset--spacing--70:3.38rem;--wp--preset--spacing--80:5.06rem;--wp--preset--shadow--natural:6px 6px 9px rgba(0,0,0,.2);--wp--preset--shadow--deep:12px 12px 50px rgba(0,0,0,.4);--wp--preset--shadow--sharp:6px 6px 0px rgba(0,0,0,.2);--wp--preset--shadow--outlined:6px 6px 0px -3px rgba(255,255,255,1),6px 6px rgba(0,0,0,1);--wp--preset--shadow--crisp:6px 6px 0px rgba(0,0,0,1);}:where(.is-layout-flex){gap:.5em;}:where(.is-layout-grid){gap:.5em;}body .is-layout-flow > .alignleft{float:left;margin-inline-start:0;margin-inline-end:2em;}body .is-layout-flow > .alignright{float:right;margin-inline-start:2em;margin-inline-end:0;}body .is-layout-flow > .aligncenter{margin-left:auto !important;margin-right:auto !important;}body .is-layout-constrained > .alignleft{float:left;margin-inline-start:0;margin-inline-end:2em;}body .is-layout-constrained > .alignright{float:right;margin-inline-start:2em;margin-inline-end:0;}body .is-layout-constrained > .aligncenter{margin-left:auto !important;margin-right:auto !important;}body .is-layout-constrained > :where(:not(.alignleft):not(.alignright):not(.alignfull)){max-width:var(--wp--style--global--content-size);margin-left:auto !important;margin-right:auto !important;}body .is-layout-constrained > .alignwide{max-width:var(--wp--style--global--wide-size);}body .is-layout-flex{display:flex;}body .is-layout-flex{flex-wrap:wrap;align-items:center;}body .is-layout-flex > *{margin:0;}body .is-layout-grid{display:grid;}body .is-layout-grid > *{margin:0;}:where(.wp-block-columns.is-layout-flex){gap:2em;}:where(.wp-block-columns.is-layout-grid){gap:2em;}:where(.wp-block-post-template.is-layout-flex){gap:1.25em;}:where(.wp-block-post-template.is-layout-grid){gap:1.25em;}.has-black-color{color:var(--wp--preset--color--black) !important;}.has-cyan-bluish-gray-color{color:var(--wp--preset--color--cyan-bluish-gray) !important;}.has-white-color{color:var(--wp--preset--color--white) !important;}.has-pale-pink-color{color:var(--wp--preset--color--pale-pink) !important;}.has-vivid-red-color{color:var(--wp--preset--color--vivid-red) !important;}.has-luminous-vivid-orange-color{color:var(--wp--preset--color--luminous-vivid-orange) !important;}.has-luminous-vivid-amber-color{color:var(--wp--preset--color--luminous-vivid-amber) !important;}.has-light-green-cyan-color{color:var(--wp--preset--color--light-green-cyan) !important;}.has-vivid-green-cyan-color{color:var(--wp--preset--color--vivid-green-cyan) !important;}.has-pale-cyan-blue-color{color:var(--wp--preset--color--pale-cyan-blue) !important;}.has-vivid-cyan-blue-color{color:var(--wp--preset--color--vivid-cyan-blue) !important;}.has-vivid-purple-color{color:var(--wp--preset--color--vivid-purple) !important;}.has-black-background-color{background-color:var(--wp--preset--color--black) !important;}.has-cyan-bluish-gray-background-color{background-color:var(--wp--preset--color--cyan-bluish-gray) !important;}.has-white-background-color{background-color:var(--wp--preset--color--white) !important;}.has-pale-pink-background-color{background-color:var(--wp--preset--color--pale-pink) !important;}.has-vivid-red-background-color{background-color:var(--wp--preset--color--vivid-red) !important;}.has-luminous-vivid-orange-background-color{background-color:var(--wp--preset--color--luminous-vivid-orange) !important;}.has-luminous-vivid-amber-background-color{background-color:var(--wp--preset--color--luminous-vivid-amber) !important;}.has-light-green-cyan-background-color{background-color:var(--wp--preset--color--light-green-cyan) !important;}.has-vivid-green-cyan-background-color{background-color:var(--wp--preset--color--vivid-green-cyan) !important;}.has-pale-cyan-blue-background-color{background-color:var(--wp--preset--color--pale-cyan-blue) !important;}.has-vivid-cyan-blue-background-color{background-color:var(--wp--preset--color--vivid-cyan-blue) !important;}.has-vivid-purple-background-color{background-color:var(--wp--preset--color--vivid-purple) !important;}.has-black-border-color{border-color:var(--wp--preset--color--black) !important;}.has-cyan-bluish-gray-border-color{border-color:var(--wp--preset--color--cyan-bluish-gray) !important;}.has-white-border-color{border-color:var(--wp--preset--color--white) !important;}.has-pale-pink-border-color{border-color:var(--wp--preset--color--pale-pink) !important;}.has-vivid-red-border-color{border-color:var(--wp--preset--color--vivid-red) !important;}.has-luminous-vivid-orange-border-color{border-color:var(--wp--preset--color--luminous-vivid-orange) !important;}.has-luminous-vivid-amber-border-color{border-color:var(--wp--preset--color--luminous-vivid-amber) !important;}.has-light-green-cyan-border-color{border-color:var(--wp--preset--color--light-green-cyan) !important;}.has-vivid-green-cyan-border-color{border-color:var(--wp--preset--color--vivid-green-cyan) !important;}.has-pale-cyan-blue-border-color{border-color:var(--wp--preset--color--pale-cyan-blue) !important;}.has-vivid-cyan-blue-border-color{border-color:var(--wp--preset--color--vivid-cyan-blue) !important;}.has-vivid-purple-border-color{border-color:var(--wp--preset--color--vivid-purple) !important;}.has-vivid-cyan-blue-to-vivid-purple-gradient-background{background:var(--wp--preset--gradient--vivid-cyan-blue-to-vivid-purple) !important;}.has-light-green-cyan-to-vivid-green-cyan-gradient-background{background:var(--wp--preset--gradient--light-green-cyan-to-vivid-green-cyan) !important;}.has-luminous-vivid-amber-to-luminous-vivid-orange-gradient-background{background:var(--wp--preset--gradient--luminous-vivid-amber-to-luminous-vivid-orange) !important;}.has-luminous-vivid-orange-to-vivid-red-gradient-background{background:var(--wp--preset--gradient--luminous-vivid-orange-to-vivid-red) !important;}.has-very-light-gray-to-cyan-bluish-gray-gradient-background{background:var(--wp--preset--gradient--very-light-gray-to-cyan-bluish-gray) !important;}.has-cool-to-warm-spectrum-gradient-background{background:var(--wp--preset--gradient--cool-to-warm-spectrum) !important;}.has-blush-light-purple-gradient-background{background:var(--wp--preset--gradient--blush-light-purple) !important;}.has-blush-bordeaux-gradient-background{background:var(--wp--preset--gradient--blush-bordeaux) !important;}.has-luminous-dusk-gradient-background{background:var(--wp--preset--gradient--luminous-dusk) !important;}.has-pale-ocean-gradient-background{background:var(--wp--preset--gradient--pale-ocean) !important;}.has-electric-grass-gradient-background{background:var(--wp--preset--gradient--electric-grass) !important;}.has-midnight-gradient-background{background:var(--wp--preset--gradient--midnight) !important;}.has-small-font-size{font-size:var(--wp--preset--font-size--small) !important;}.has-medium-font-size{font-size:var(--wp--preset--font-size--medium) !important;}.has-large-font-size{font-size:var(--wp--preset--font-size--large) !important;}.has-x-large-font-size{font-size:var(--wp--preset--font-size--x-large) !important;}.wp-block-navigation a:where(:not(.wp-element-button)){color:inherit;}:where(.wp-block-post-template.is-layout-flex){gap:1.25em;}:where(.wp-block-post-template.is-layout-grid){gap:1.25em;}:where(.wp-block-columns.is-layout-flex){gap:2em;}:where(.wp-block-columns.is-layout-grid){gap:2em;}.wp-block-pullquote{font-size:1.5em;line-height:1.6;}.wpcf7 .wpcf7-recaptcha iframe{margin-bottom:0;}.wpcf7 .wpcf7-recaptcha[data-align="center"] > div{margin:0 auto;}.wpcf7 .wpcf7-recaptcha[data-align="right"] > div{margin:0 0 0 auto;}html body[data-header-resize="1"] .container-wrap,html body[data-header-format="left-header"][data-header-resize="0"] .container-wrap,html body[data-header-resize="0"] .container-wrap,body[data-header-format="left-header"][data-header-resize="0"] .container-wrap{padding-top:0;}.main-content > .row > #breadcrumbs.yoast{padding:20px 0;}@media only screen and (min-width:1000px){body #ajax-content-wrap.no-scroll{min-height:calc(100vh - 107px);height:calc(100vh - 107px) !important;}}@media only screen and (min-width:1000px){#page-header-wrap.fullscreen-header,#page-header-wrap.fullscreen-header #page-header-bg,html:not(.nectar-box-roll-loaded) .nectar-box-roll > #page-header-bg.fullscreen-header,.nectar_fullscreen_zoom_recent_projects,#nectar_fullscreen_rows:not(.afterLoaded) > div{height:calc(100vh - 106px);}.wpb_row.vc_row-o-full-height.top-level,.wpb_row.vc_row-o-full-height.top-level > .col.span_12{min-height:calc(100vh - 106px);}html:not(.nectar-box-roll-loaded) .nectar-box-roll > #page-header-bg.fullscreen-header{top:107px;}.nectar-slider-wrap[data-fullscreen="true"]:not(.loaded),.nectar-slider-wrap[data-fullscreen="true"]:not(.loaded) .swiper-container{height:calc(100vh - 105px) !important;}.admin-bar .nectar-slider-wrap[data-fullscreen="true"]:not(.loaded),.admin-bar .nectar-slider-wrap[data-fullscreen="true"]:not(.loaded) .swiper-container{height:calc(100vh - 105px - 32px) !important;}}.admin-bar[class*="page-template-template-no-header"] .wpb_row.vc_row-o-full-height.top-level,.admin-bar[class*="page-template-template-no-header"] .wpb_row.vc_row-o-full-height.top-level > .col.span_12{min-height:calc(100vh - 32px);}body[class*="page-template-template-no-header"] .wpb_row.vc_row-o-full-height.top-level,body[class*="page-template-template-no-header"] .wpb_row.vc_row-o-full-height.top-level > .col.span_12{min-height:100vh;}@media only screen and (max-width:999px){.using-mobile-browser #nectar_fullscreen_rows:not(.afterLoaded):not([data-mobile-disable="on"]) > div{height:calc(100vh - 111px);}.using-mobile-browser .wpb_row.vc_row-o-full-height.top-level,.using-mobile-browser .wpb_row.vc_row-o-full-height.top-level > .col.span_12,[data-permanent-transparent="1"].using-mobile-browser .wpb_row.vc_row-o-full-height.top-level,[data-permanent-transparent="1"].using-mobile-browser .wpb_row.vc_row-o-full-height.top-level > .col.span_12{min-height:calc(100vh - 111px);}html:not(.nectar-box-roll-loaded) .nectar-box-roll > #page-header-bg.fullscreen-header,.nectar_fullscreen_zoom_recent_projects,.nectar-slider-wrap[data-fullscreen="true"]:not(.loaded),.nectar-slider-wrap[data-fullscreen="true"]:not(.loaded) .swiper-container,#nectar_fullscreen_rows:not(.afterLoaded):not([data-mobile-disable="on"]) > div{height:calc(100vh - 58px);}.wpb_row.vc_row-o-full-height.top-level,.wpb_row.vc_row-o-full-height.top-level > .col.span_12{min-height:calc(100vh - 58px);}body[data-transparent-header="false"] #ajax-content-wrap.no-scroll{min-height:calc(100vh - 58px);height:calc(100vh - 58px);}}#nectar_fullscreen_rows{background-color:transparent;}body .container-wrap .vc_row-fluid[data-column-margin="90px"] > .span_12,body .container-wrap .vc_row-fluid[data-column-margin="90px"] .full-page-inner > .container > .span_12,body .container-wrap .vc_row-fluid[data-column-margin="90px"] .full-page-inner > .span_12{margin-left:-45px;margin-right:-45px;}body .container-wrap .vc_row-fluid[data-column-margin="90px"] .wpb_column:not(.child_column),body .container-wrap .inner_row[data-column-margin="90px"] .child_column{padding-left:45px;padding-right:45px;}.container-wrap .vc_row-fluid[data-column-margin="90px"].full-width-content > .span_12,.container-wrap .vc_row-fluid[data-column-margin="90px"].full-width-content .full-page-inner > .span_12{margin-left:0;margin-right:0;padding-left:45px;padding-right:45px;}.single-portfolio #full_width_portfolio .vc_row-fluid[data-column-margin="90px"].full-width-content > .span_12{padding-right:45px;}@media only screen and (max-width:999px) and (min-width:691px){.vc_row-fluid[data-column-margin="90px"] > .span_12 > .one-fourths:not([class*="vc_col-xs-"]),.vc_row-fluid .vc_row-fluid.inner_row[data-column-margin="90px"] > .span_12 > .one-fourths:not([class*="vc_col-xs-"]){margin-bottom:90px;}}.col.padding-3-percent > .vc_column-inner,.col.padding-3-percent > .n-sticky > .vc_column-inner{padding:calc(600px * .03);}@media only screen and (max-width:690px){.col.padding-3-percent > .vc_column-inner,.col.padding-3-percent > .n-sticky > .vc_column-inner{padding:calc(100vw * .03);}}@media only screen and (min-width:1000px){.col.padding-3-percent > .vc_column-inner,.col.padding-3-percent > .n-sticky > .vc_column-inner{padding:calc(( 100vw - 180px ) * .03);}.column_container:not(.vc_col-sm-12) .col.padding-3-percent > .vc_column-inner{padding:calc(( 100vw - 180px ) * .015);}}@media only screen and (min-width:1425px){.col.padding-3-percent > .vc_column-inner{padding:calc(1245px * .03);}.column_container:not(.vc_col-sm-12) .col.padding-3-percent > .vc_column-inner{padding:calc(1245px * .015);}}.full-width-content .col.padding-3-percent > .vc_column-inner{padding:calc(100vw * .03);}@media only screen and (max-width:999px){.full-width-content .col.padding-3-percent > .vc_column-inner{padding:calc(100vw * .03);}}@media only screen and (min-width:1000px){.full-width-content .column_container:not(.vc_col-sm-12) .col.padding-3-percent > .vc_column-inner{padding:calc(100vw * .015);}}@media only screen and (max-width:999px){body .vc_row-fluid:not(.full-width-content) > .span_12 .vc_col-sm-2:not(:last-child):not([class*="vc_col-xs-"]){margin-bottom:25px;}}@media only screen and (min-width :691px) and (max-width :999px){body .vc_col-sm-2{width:31.2%;margin-left:3.1%;}body .full-width-content .vc_col-sm-2{width:33.3%;margin-left:0;}.vc_row-fluid .vc_col-sm-2[class*="vc_col-sm-"]:first-child:not([class*="offset"]),.vc_row-fluid .vc_col-sm-2[class*="vc_col-sm-"]:nth-child(3n+4):not([class*="offset"]){margin-left:0;}}@media only screen and (max-width :690px){body .vc_row-fluid .vc_col-sm-2:not([class*="vc_col-xs"]),body .vc_row-fluid.full-width-content .vc_col-sm-2:not([class*="vc_col-xs"]){width:50%;}.vc_row-fluid .vc_col-sm-2[class*="vc_col-sm-"]:first-child:not([class*="offset"]),.vc_row-fluid .vc_col-sm-2[class*="vc_col-sm-"]:nth-child(2n+3):not([class*="offset"]){margin-left:0;}}@media only screen and (max-width:999px){body .wpb_column.force-tablet-text-align-left,body .wpb_column.force-tablet-text-align-left .col{text-align:left !important;}body .wpb_column.force-tablet-text-align-right,body .wpb_column.force-tablet-text-align-right .col{text-align:right !important;}body .wpb_column.force-tablet-text-align-center,body .wpb_column.force-tablet-text-align-center .col,body .wpb_column.force-tablet-text-align-center .vc_custom_heading,body .wpb_column.force-tablet-text-align-center .nectar-cta{text-align:center !important;}.wpb_column.force-tablet-text-align-center .img-with-aniamtion-wrap img{display:inline-block;}}@media only screen and (max-width:690px){html body .wpb_column.force-phone-text-align-left,html body .wpb_column.force-phone-text-align-left .col{text-align:left !important;}html body .wpb_column.force-phone-text-align-right,html body .wpb_column.force-phone-text-align-right .col{text-align:right !important;}html body .wpb_column.force-phone-text-align-center,html body .wpb_column.force-phone-text-align-center .col,html body .wpb_column.force-phone-text-align-center .vc_custom_heading,html body .wpb_column.force-phone-text-align-center .nectar-cta{text-align:center !important;}.wpb_column.force-phone-text-align-center .img-with-aniamtion-wrap img{display:inline-block;}}.screen-reader-text,.nectar-skip-to-content:not(:focus){border:0;clip:rect(1px,1px,1px,1px);clip-path:inset(50%);height:1px;margin:-1px;overflow:hidden;padding:0;position:absolute !important;width:1px;word-wrap:normal !important;}.row .col img:not([srcset]){width:auto;}.row .col img.img-with-animation.nectar-lazy:not([srcset]){width:100%;}*{font-family:futura-pt,sans-serif !important;}.bold,strong,b{font-weight:600;}[class*=" icon-"],i[class*="fa-"]{font-family:FontAwesome !important;}[class^="icon-"]{font-family:FontAwesome !important;}@media screen and (min-width:690px){body #header-secondary-outer nav >ul >li >a{border-left:0px solid #ddd;line-height:20px;font-size:16px;padding:10px;}}@media screen and (max-width: 690px){body:not(.material) #header-secondary-outer nav .sf-menu{border-top:0px solid #ddd;}body #header-secondary-outer nav >ul >li >a{line-height:18px;font-size:18px;}#menu-item-362{margin-right:10px !important;}}header#top nav >ul >li.megamenu >ul.sub-menu{width:50%;left:auto;}#menu-item-355 a{color:#fff !important;}#menu-item-355{background:#9f195c;margin-top:0;}#menu-item-55 a{font-size:18px !important;width:max-content;}@media screen and (min-width: 1000px){#menu-item-300,#menu-item-297,#menu-item-304,#menu-item-301,#menu-item-302,#menu-item-303{display:none;}#header-secondary-outer ul{height:40px;transform:translateX(-50px);}}#header-outer.small-nav:not([data-format="left-header"]) #logo img{display:none !important;}.sf-menu.sf-js-enabled.sf-arrows{transform:translateX(5%);}#top .sf-menu li ul{margin-left:.8vw;}@media screen and (max-width: 1500px) and (min-width: 1336px){#header-outer #logo img{height:35px !important;margin-top:10px !important;}#header-outer[data-lhe="animated_underline"] #top nav > ul > li > a{margin-left:10px;margin-right:10px;}}@media screen and (max-width: 1336px) and (min-width: 1000px){#header-outer #logo img{height:30px !important;margin-top:10px !important;}#header-outer[data-lhe="animated_underline"] #top nav > ul > li > a{margin-left:6px;margin-right:6px;}#top nav >ul >li >a{font-size:12px !important;}#top .sf-menu li ul{margin-left:.5vw;}#header-outer[data-full-width=true] header>.container,body[data-slide-out-widget-area-style=simple] #header-outer[data-full-width=true] #mobile-menu{padding:0 7px 0 20px !important;}}@media screen and (max-width: 1290px){.sf-sub-indicator{display:none;}}#top nav ul li a,#header-outer .sf-menu li ul li a{color:#4a4a4a;}.sf-menu >li ul{padding:0px;width:14em;}.sf-menu >li ul a{padding:12px;}.nectar-header-text-content{color:#9f195c !important;font-size:18px;font-weight:600;}@media screen and (max-width: 1030px) and (min-width: 1000px){.nectar-header-text-content{display:none;}}.nectar-header-text-content.mobile-only{color:#fff !important;}.index_spec_page h3{font-size:16px !important;}#breadcrumbs{display:none;}.toggle h3 a i{font-size:24px;color:#b72a61;top:16px;}div[data-style="default"] .toggle h3 a{font-size:22px;line-height:26px;}@media only screen and (min-width: 1001px){.reverse-row >.col.span_12{flex-direction:row-reverse !important;}}@media screen and (max-width: 1000px) and (min-width: 690px){.index_special{margin-left:100px !important;}}@media screen and (min-width: 690px){.link_special_one{padding-left:5% !important;}}.nectar-slider-wrap[data-bg-animation="ken_burns"] .swiper-slide .slide-bg-wrap{transform:scale(1.1);}.swiper-slide .content h1{font-weight:600;}.swiper-slide .content p{font-weight:400;}@media only screen and (max-width: 1000px){.nectar-slider-wrap[data-full-width="true"][data-fullscreen="false"] .swiper-slide .content p{font-size:30px !important;line-height:34px !important;}.slider-title{font-size:28px !important;line-height:40px !important;}}.slider-title{font-size:54px;line-height:68px;}@media screen and (min-width: 1030px){.slide-bg-overlay{background-color:rgba(10,10,10,0) !important;}}#footer-outer .widget.widget_nav_menu li a{padding:0;font-size:14px;text-transform:uppercase;}.footer_col{float:left;padding:0 20px;width:33%;}@media screen and (max-width: 800px){#footer > *{width:100%;float:none;text-align:center !important;padding:10px;}#nav_menu-2{display:none;}}@media only screen and (max-width: 1000px) and (min-width: 800px){#footer-widgets .container{max-width:inherit !important;}}body #footer-outer[data-cols="1"][data-disable-copyright="false"] .row{padding-top:25px;}#footer-outer .widget{margin-bottom:60px;}#footer-outer a:not(.nectar-button){color:#9d1a5a !important;}#footer-outer[data-cols="1"] #footer-widgets .container .col a{color:#fff !important;}input.wpcf7-form-control.wpcf7-submit{width:100%;padding:20px;font-size:16px;font-weight:600;letter-spacing:1px;}input[type=text],input[type=email],input[type=tel],textarea{margin:5px 0;}.sticky-tab{position:fixed;z-index:99999;bottom:0%;cursor:pointer;background:#fff04b;padding:5px 16px;text-transform:uppercase;letter-spacing:1px;font-size:18px;right:0;opacity:1 !important;border-radius:0;border:1px solid #fff04b;border-bottom:0;color:#00234b;}.sticky-tab:hover{color:#000;}.sticky-tab-mobile{position:fixed;z-index:99999;bottom:0%;cursor:pointer;background:#ddd;padding:5px 16px;text-transform:uppercase;letter-spacing:1px;font-size:18px;left:0;opacity:1 !important;border-radius:0;border:1px solid #ddd;border-bottom:0;color:#000;}.sticky-tab-mobile:hover{color:#313131;}@media screen and (min-width: 800px){.sticky-tab-mobile{display:none;}}@media screen and (max-width: 800px){.sticky-tab,.sticky-tab-mobile{width:50%;text-align:center;}}.grecaptcha-badge{display:none;}@media screen and (max-width: 800px){#tresio-widget-button{margin-bottom:60px;}}.button solid_color{z-index:9999 !important;}.recentcomments a{display:inline !important;padding:0 !important;margin:0 !important;}.vc_custom_1621032521028{padding-top:5vh !important;}.vc_custom_1586488442440{padding-bottom:2% !important;}.vc_custom_1586488449988{padding-top:2% !important;padding-bottom:2% !important;}

Patient Forms

Patient Intake Form

General Consent Form

UGF Therapy Consent Form

Notice of Privacy Practice

Financial Policy

SCHEDULE A CONSULTATION

703-560-1075

SCHEDULE A
CONSULTATION