Getting Ready for Your Visit             Preparing for surgery

In order for us to provide the best care for you, it is very important that you bring the following items to your visit:

 

1. Please bring with you a list of all medications, allergies, past medical and surgical histories.

 

2. If you have any pertinent medical imaging not performed at an Inova facility then you must bring the images with you. This is very important as the doctor may not be able to properly evaluate you without the actual images.

 

3.You will need to bring your insurance card and a photo id. Any copays will be expected a the time of the visit.

 

4. We try to be on time but may run late. You may call in advance to check that the doctor is running on time. If you are running late or need to reschedule then please call us at 703 823 4066

Patient Forms   

Patient Registration Form (.PDF download)

Medical And Surgical Form (.PDF download)

Past Medical History Form (.PDF download)

Privacy Notice Form (.PDF download)

Quickly and conveniently obtain forms from our office. To view the forms listed below, you will need Adobe Reader. You may bring your completed forms to the office at the time of your visit.​

You may download Adobe Reader for free at: www.adobe.com



 

Surgery Preparation & Postoperative Instructions

 

Copyright 2012 Dr. Stefano F. Agolini, M.D. - Alexandria, VA