New Patient Forms / Notice of Patient Privacy Practices

New Patients:
For your first visit, we require the packet below to be completed. Please fill the
forms out and return them to our office by mail, fax, or hand delivery.

Once we have received your registration forms we will call you to set up your initial appointment, please make sure to note on your forms the best phone number where we can reach you.

If you have any questions or concerns about the forms attached or about our practice, please feel free to contact the office at
703-635-2158.

Our fax is 703-356-1610.

Thank you for allowing Well Being – Being Well to play an important role in
your healthcare.

Well Being-Being Well
6862 Elm Street #720
McLean, Virginia 22101
703-635-2158
FAX 703-356-1610

NEW PATIENT PAPERWORK:

WBBW New Patient Packet Short Final 12232016 PDF

NOTICE OF PATIENT PRIVACY PRACTICES

WBBW Notice of Patient Privacy Practices 9-1-16.2PDF