Intake Forms                  

NEW Patients

                  

Make Payments Here!
Enter name and date of service


Terms and Conditions

***Send as an attachment to : 

      info@harmonyinhealth.net  or  703-544-9112 (fax) 

Purchase products through our Fullscript virtual dispensary.

Questions?  Call Us at 703-544-9113

Pt Agreement and Demographi(All  Patients)

Medical History  (All EXCEPT Groupon customers)


CURRENT Patients

Request Appointment Here

                  

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   ** CANCELLATION POLICY **
 
Failure to reschedule without 24 hrs advance notice (48 hrs for Saturdayappointments) or

No-Show will result in a

$50  charge.  Groupon,and similar vouchers, will be subject to forfeiture.

Leave a voicemail if calling after hours. 



   ** NEW WEIGHT LOSS VISITS**

$50 Security Deposit REQUIRED

to Book Appointment


(If you are unable to access the patient portal)