Dominion Urological Consultants

For all new patients please print these five documents and fill them out completely and bring them to your first appointment. This will save you time at your appointment.

Registration Form
Records Release Form
Non-Covered Services Waiver
Patient Profile
Privacy Notice

Dominion Urological Consultants strives to provide compassionate and contemporary urologic health care while maintaining an ongoing effort to comply with all standards of proper business and patient confidentiality.

Insurance and Patient Payment Policy
Medication Refills
Requests for Medical Records
Laboratory and X-ray Results
Late Policy
Referrals
Life and death emergencies dial 911

Call 703-208-4200 for an appointment.

Have a question or concern?

Please feel free to call us at the number above and let our office manager know how we can better serve our patients needs.