Patient Information

Patient Information

NICHQ Vanderbilt Assessment Scale

Teacher Form
Parent Form

First Time Visitfirsttimevisit

Thank you for choosing Olde Towne Pediatrics for the health needs and care of your child. We would like to welcome you as a new patient. Click here for our new patient registration forms that you may download and fill out prior to your first appointment. You can also complete the form in its entirety and fax them to us at 703.365.0332. This will help us to expedite your first visit wait time. Please arrive 30 minutes prior to your scheduled appointment time.

Office Visits

We recognize your time is important and we will strive to see you and your child within 15 minutes of the scheduled time. We will be generous with our time and make sure visits are scheduled in a way that gives us enough time to listen to your concerns, do a thorough examination and answer all your questions. In the rare event of an emergency, we will let you know as soon as possible of any delays and you may choose to reschedule.

patient infoLate Policy

Should you arrive 10 minutes or more late for your appointment, you may have to reschedule.