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Thank you for your interest in Dominion Fertility. Please take a moment to fill out our online contact form or download the Patient Registration, Patient Questionnaire and the following Patient Consent forms (for both patient and spouse when applicable).
For more information about Dominion Fertility or to schedule an appointment, please contact us using the information below:
Dominion Fertility
46 South Glebe Road Suite 301 Arlington, Virginia 22204 Tel: (703) 920-3890 Fax: (703) 892-6037
Other Locations (by appointment only)
Reston, VA - Reston Hospital (703) 920-3890
Loudoun, VA - Loudoun County Medical Center (703) 920-3890
Patient Consent Forms: Patient Agreement Page 1 Patient Agreement Page 2 HIPAA Notice Of Privacy Practices Routine Health Maintenance Form Agreement To Share Medical Information With Your Partner
Gracias por su interés en fertilidad del dominio. Tome por favor un momento para descargar el registro paciente, el cuestionario paciente y las formas pacientes siguientes del consentimiento (para el paciente y el esposo cuando es aplicable).
Formas Pacientes Del Consentimiento:
Acuerdo Paciente
Aviso de HIPAA De las Prácticas De la Aislamiento
Forma Rutinaria Del Mantenimiento De la Salud
Acuerdo De compartir La Información Médica Con Su Socio
The staff at Dominion Fertility values your opinion. If you have recently gone through any procedures at Dominion Fertility, we would like to know how your experience was. Please click here to fill out our new online survey. Your response will be completely confidential and name and email address is not recorded. The answers in which you provide will be used solely to improve our service to our patients.
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OFFICE HOURS
Our Arlington office hours are from 9:00 AM to 4:30 PM, Monday through Friday. Sonogram hours are from 7:00 AM. to 9:00 AM, Monday through Friday. Weekend sonogram hours are from 8:00 to 9:00 AM
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