Forms


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.

Form Questions

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
Phone: 703-635-2158    |    Fax:  703-356-1610