New patient information & patient forms

New patient information

We welcome new patients at UVA Bull Run Family Medicine!

To make an appointment with a provider at any of our locations, you can schedule online via MyChart, or you can call your desired location directly:

• Manassas: 703-368-3161
• Haymarket: 571-284-4370
• Linton Hall: 571-284-4230

Please arrive at least 15 minutes before your schedule appointment time. Bring with you:

• A photo ID.
• Your insurance card or the insurance card covering your child.
• Your method of copayment or payment in full. (Click here for more payment information.)
• Any prescription or over-the-counter medications you or your child are currently taking.

Patient forms

Select any of the links below to download important forms for your visit. If you do not complete these forms ahead of time, they will be available for you in our office:

• Patient Information/Consent To Treat
• Authorization To Disclose Health Or Billing Information
• Communicating Your Health Information
• Adult History Questionnaire
• Pediatric History Questionnaire
• Virginia High School League Physical Examination Form