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PATIENT FORMS

If you are a new CRS patient or have not been seen in the office in over 1 year, you will need to print and complete documents below

Please make sure to bring the completed documents to your appointment to ensure our physicians have your current medical and surgical history.

If you are a new CRS patient you will need to print and complete:

New Patient Packet

Existing Patients who have not been to our office in over 1 year will need to print and complete:

Existing Patient Update Package

To obtain a copy of your medical records, please call 804-249-2465.  There is a processing fee of $10 plus $.50 per page. These fees, set forth by Virginia State Law, must be paid in full before your request can be processed.  This form will also need to be returned before you medical records can be released.

Patient Request for Medical Records