For your convenience, please print and fill out all applicable forms and present them to the front desk when you arrive for your first office visit.
This document contains important information about our professional services and business policies. It also contains information about HIPAA Act.
This notice describes how medical information about you may be used and disclosed and how you can get access to this information.
The HIPAA Privacy Rule gives individuals a fundamental new right to be informed of the privacy practices of their health plans and of most of their health care providers.
For your convenience, please print and fill out all applicable forms and present them to the front desk or send it through the mail.
Complete intake forms online and send electronically.
Complete online medical questionnaire form and send electronically.
ADDRESS
4229 Lafayette Center Dr.
Suite 1760
Chantilly, VA 20151
CONTACTS
Email: contactus@viennabh.com
Phone: (703) 865-0003
Fax: +1 (703)865-0034
OFFICE HOURS
Mon-Fri 9:00 AM to 6:00 PM
Saturday & Sunday - Closed
For emergencies please call 911