Appointment Requests and Patient Forms

Thank you for requesting an appointment with Virginia Cancer Specialists.

Please Note: Appointment confirmations will be sent out within the same business day –

If request is submitted after 2:00pm EST, then confirmation will be sent out within the next business day.

Before your first visit, you will need to complete several forms. Please fill them out here online, they will be retrieved by our staff prior to your appointment. Click on the link(s) below to access the forms which include Medical History, New Patient Intake, Patient Rights and Responsibilities, and Patient Portal Authorization.

Thanks for your patience, the online forms medical information request is intended to help better streamline patient flow, keep wait times shorter, eliminate important missing historical data and also make sure the physicians and nurses have all the critical information they need before you see them.

IMPORTANT: Please have the forms submitted at least 24-48 hours before your appointment.

Note: there is a 90 minute maximum time limit to fill out forms. Forms are best filled out on a desktop computer or larger tablet.

Patient Forms:

These are not printable forms (do not print them out), they are intended for online submission only, once the form is complete and submitted, a pdf (printable) version of the completed form will be available for download. If you need a printable version please contact central scheduling at

(703) 208-3155 and one will be provided.

NEW PATIENT FORM – MEDICAL ONCOLOGY AND HEMATOLOGY

New Breast Surgery Patient Forms

New Breast Surgery Patient Forms Dr. Weintritt Only

Please print Dr. David Weintritt’s form, fill out prior to your appointment (bring to your appointment). Note: this is the only printable form.

NEW THORACIC SURGERY PATIENT FORM – S KHANDHAR MD FACS

NEW MUSCULOSKELETAL TUMOR SURGERY FORM – F WODAJO MD

Advance Directive Form

Patient Imaging Uploads - click here to upload CD

ALL PATIENTS: Please remember to bring the following items with you:

All medical insurance cards
Insurance Referral from your Primary Care Physician
Copy of your medical records

Virginia Cancer Specialists uses an automated appointment reminder system that will call two business days before your appointment to confirm the time and location. If you are unable to keep a scheduled appointment, please call the office as soon as possible to reschedule.

Thank you for choosing Virginia Cancer Specialists for your care and we look forward to meeting and serving you.