Now Accepting New Patients — Same-Week Appointments Available.
The following forms are required by Privia Medical Group for all patients. Please review, complete, and return them prior to your first visit or as requested by our office.
Describes how health information about you (as a patient of this Care Center) may be used and disclosed, and how you can get access to your individually identifiable health information. Please review this notice carefully.
View / DownloadAllows patients to authorize the disclosure of their health information to a designated individual, company, agency, or facility.
Download PDFAll patients must provide their consent for treatment, communications (calls, emails, and text messaging), and agreement of financial responsibility.
Patients are encouraged to complete and return the Preferred Contacts Form so we can reach you in the way that works best for you. This form is not required.
This form advises patients of their complete financial responsibility for all medical services received without regard to insurance eligibility or coverage determinations.
Download PDFPioneer Medical Associates and Privia Medical Group are committed to serving patients in their preferred language. Language services and interpreter assistance are available at no cost to patients.
View Language ServicesImportant: These forms link directly to Privia Medical Group's official PDFs to ensure you always have the most current version. Please do not submit older versions downloaded from other sources. If you have trouble accessing any form, please call our office at (703) 344-1172 or email FrontDesk@PioneerPCP.com and we will assist you.
Patient Portal
The myPrivia patient portal gives you secure, 24/7 access to your health records, test results, appointment scheduling, and direct messaging with your care team.
Download the myPrivia App:
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PROUD TO BE PART OF PRIVIA MEDICAL GROUP
Pioneer Medical Associates is a proud member of Privia Medical Group. The best doctors in our community have joined together to form Privia Medical Group (PMG), a multi-specialty, high-performance medical group that puts patients first. Our physicians are united by the mission of providing better, more coordinated care for their patients. To learn more about Privia Medical Group and find other Privia doctors, please visit our website →
