Patient Resources
Become a Patient
I am currently accepting a limited number of new patients into my practice. Thank you for considering Prosperity Primary Care. To become a new patient:
Please call my dedicated Membership Information Line: 571.307.2640
When you come to our office for the first time as a new patient, you will be asked to complete some initial forms, including an Authorization and Consent for Treatment form, if you were not able to download them from the patient portal in advance of your appointment.
Remember to bring:
- Your insurance card
- Valid photo ID
- List of current medications
- Office co-pay
Office Policies
Financial Policy (PDF) - This form advises patients of their complete financial responsibility for all medical services received without regard to insurance eligibility or coverage determinations.
Notice of Privacy Practices (PDF) - Describes how health information about you (as a patient of this Care Center) may be used and disclosed, and how you can get access to your individually identifiable health information. Please review this notice carefully.
For more information on patient resources or to become a patient,
please call: 571.307.2640