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We are now open Saturdays.

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We are now open Saturdays.

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Patient Forms

New Patient Paperwork

Please complete these forms before arriving for your appointment as a new patient. Be sure to bring a valid, government issued photo ID. We also ask that you bring a current copy of your insurance card as this will be submitted with any laboratory or pathology specimens.

New Patient Form – Secure Online Form

New Patient Form – Printable PDF

Telemedicine Consent Form

Telemedicine Consent Form – Secure Online Form

Medical Records Release

This form is used when you would like to request your medical records.

Medical Records Release – Secure Online Form

Family and Friends Release

This form is used if you would like to give our office permission to speak to someone other than yourself regarding your personal medical history, office visits, pathology results, etc.

Family and Friends Release – Secure Online Form

Third Party Release

This form is used when a third party, such as a life insurance company, is requesting your medical records.

Third Party Release – Secure Online Form

Please note that there may be a fee associated with releasing your records; this office policy is listed in our new patient paperwork.

Minor Consent Form

FDL Minor Consent – Secure Online Form

 

HIPPA Privacy Practices

FDL Dermatology Is Seeing Patients Both Online And In Person.

Ready for a better healthcare experience?

Book An Appointment Or Call us (703) 310-7400.

Our Location

1005 North Glebe Rd | Suite 540 |
Arlington, VA 22201

Please do not park in the garage in our building. Kindly park in the building adjacent to our office, 4501 North Fairfax Drive and we will validate your parking.

Hours Of Operation

Monday:9 AM-4 PM
Tuesday:9 AM-3:30 PM
Wednesday:9 AM-3:30 PM
Thursday:11 AM-7 PM alternating Thursdays
Friday:9 AM-3:30 PM
Saturday:Call for Availability
Sunday:Closed