Thank you for your interest in Sentara Medical Group. Please select from the following options for ways we can help provide you quality care.
Becoming a Patient
Ready to schedule an imaging appointment with our care team? Call us at 703-523-1560.
Please note that appointments with our specialists may require a referral.
In an effort to make your appointment check-in process smoother and more efficient, here you can find a number of forms that you may fill out in advance of your appointment.
If you are a new patient for a Sentara Medical Group practice, you can download the appropriate form below. Print and complete the form, and bring it with you to your first visit.
Authorization to Disclose or Release Health Information
If you want to have a medical record transferred from another doctor’s office to your new Sentara Medical Group office, please complete this form. Likewise, this form can also be used to authorize someone other than you to have access to information about your healthcare status on treatment. Just print and complete the form and bring it with you to your next appointment.
For questions about these forms, please call your Sentara Medical Group practice.
Patient Forms - Ultrasound Associates Patients
Ultrasound Associates patient forms are available below for your convenience.
- New Patient Registration Form
- Gynecological History Form (for Pelvic ultrasound, endovaginal, sonohysterogram/hystersonogram)
- Obstetrical History Form
- Mammography History Form (for Screening Mammogram, Diagnostic/Comprehensive Mammogram, Breast Cyst Aspiration, Breast Biopsy, and Breast Sonogram)
- Bone Densitometry History Form
- Patient Parking Permit (Please print and place on the dashboard of your vehicle when you arrive.)
- Request to Release Health Information to Ultrasound Associates (Incoming Film/Images/CDs)
- Authorization to Release Health Information to another facility (Outgoing Film/Images/CDs)
For exam preparation and other imaging information, please visit our Imaging section. Use the drop-down menu in the left navigation bar to select the imaging service you need.
Billing and Insurance
Sentara Medical Group is dedicated to ensuring you understand the billing process and the resources available to you. We offer multiple ways to pay your bill - online, through the mail, on the phone or in person at the Sentara Medical Group office.
We encourage all of our patients to sign up for Sentara MyChart. It’s a great way to communicate with your care teams, schedule an appointment, request a prescription refill and view test or lab results – all on your own time. It also keeps you up-to-date on when you’re due for routine vaccinations or other preventative screenings so that you can be a more active – and proactive – part of your healthcare team.
One of the ways we deliver quality care is by helping connect you to additional information and resources even in between your visits to our office. Below you will find links to online resources, as well as health information and a wide-range of disease-specific support groups offered at Sentara.