Please call your physician’s office before coming in for your appointment if you have symptoms of a cough, fever, or difficulty breathing; traveled to Europe or China or other areas impacted by the coronavirus (COVID-19) within the past 14 days; been in close contact with someone who has traveled outside the U.S. to one of the impacted countries; or may have been exposed to the coronavirus. Effective Monday May 18th all VCS sites will be conducting temperature checks for all patients and visitors at entrances. For your safety, you will be asked to use a mask, if you do not have one, a mask will be provided. If a person presents with a temperature, you will be asked to return home and further instructions will be given by your health care team. For our patients protection, no visitors under 18 will be allowed in the offices, there is a limit one (1) visitor per patient if necessary. No visitors are allowed in the chemo infusion room. FOR THE LATEST UP TO DATE INFORMATION, ALERTS AND CANCELLATIONS PLEASE CLICK HERE

Patient Forms

Before your first visit, you will be asked to complete several forms. Please fill them out here online, they will be retrieved by our staff prior to your appointment. Click on the links 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, 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 and one will be provided.



New Breast Surgery Patient Forms



Advance Directive Form

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.

Note:  Your Specialist Office Visit copayment is due at the time of service