Prepare for Your Appointment

To schedule an appointment at the main office or center locations, please call VIPCare at 804-282-8332. In preparation for your first visit, the following forms need to be completed. You have the option to print these and bring them or allow 15 minutes before your initial visit to complete these at the counseling location.

• intake form without insurance (pdf fillable form)

• intake form with insurance (pdf fillable form)

• Intake Form for Spiritual Direction

• Intake Face Sheet—Non-Counseling

• Medical Release

• Patient Consent Intake Form for Spiritual Direction

• MYIO USERS GUIDE: MYIO Patient Portal Help – Your Patient Experience Portal (valant.io)

• Release of Information