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New Patient Paperwork

Active Lifestyle Medical VA offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring them with you to your appointment.

OFFICE HOURS


Monday
3:00pm - 6:30pm


Tuesday
10:00am - 12:00pm
3:00pm - 6:30pm


Wednesday
10:00am - 12:00pm
3:00pm - 6:30pm


Thursday
1:00pm - 1:30pm
3:00pm - 6:30pm


Friday
8:00am - 12:00pm


Saturday
Closed


Pain Management Sterling Active VA Lifestyle Medical VA

Active Lifestyle Medical VA

20 Pidgeon Hill Drive #102
Sterling, VA 20165

(703) 444-4141