{"id":1622,"date":"2025-09-10T21:07:27","date_gmt":"2025-09-10T21:07:27","guid":{"rendered":"https:\/\/dominionfhc.com\/?page_id=1622"},"modified":"2026-04-05T21:03:36","modified_gmt":"2026-04-05T21:03:36","slug":"become-a-patient","status":"publish","type":"page","link":"https:\/\/dominionfhc.com\/index.php\/become-a-patient\/","title":{"rendered":"Become A Patient"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.10.8&#8243; _module_preset=&#8221;default&#8221; locked=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.10.8&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.10.8&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.10.8&#8243; _module_preset=&#8221;default&#8221; text_font=&#8221;Poppins||||||||&#8221; header_3_font=&#8221;|600|||||||&#8221; header_3_text_color=&#8221;#000000&#8243; header_3_font_size=&#8221;36px&#8221; hover_enabled=&#8221;0&#8243; text_font_size_tablet=&#8221;&#8221; text_font_size_phone=&#8221;16px&#8221; text_font_size_last_edited=&#8221;on|phone&#8221; header_3_font_size_tablet=&#8221;&#8221; header_3_font_size_phone=&#8221;26px&#8221; header_3_font_size_last_edited=&#8221;on|phone&#8221; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<div class=\"et_pb_module et_pb_text et_pb_text_1 aller-mod1  et_pb_text_align_left et_pb_bg_layout_light\">\n<div class=\"et_pb_text_inner\">\n<div class=\"et_pb_module et_pb_text et_pb_text_1 aller-mod1  et_pb_text_align_left et_pb_bg_layout_light\">\n<div class=\"et_pb_text_inner\">\n<h3>Become a New Patient<\/h3>\n<p>We are currently accepting new patients into our practice. Thank you for considering us. To become a new patient:<\/p>\n<ol>\n<li><span style=\"color: #3366ff;\"><a href=\"https:\/\/dominionfhc.ourscheduling.com\/1717\/doctors?visitTypeId=2\" style=\"color: #3366ff;\">Make an Appointment<\/a><\/span><\/li>\n<li><span style=\"color: #3366ff;\"><a href=\"https:\/\/8042-1.portal.athenahealth.com\/\" style=\"color: #3366ff;\">Download your patient forms online<\/a><\/span><\/li>\n<li><span style=\"color: #3366ff;\"><a href=\"https:\/\/8042-1.portal.athenahealth.com\/?section=landing&amp;sub=registration_wizard\" style=\"color: #3366ff;\">Sign up for our patient portal<\/a><\/span><\/li>\n<\/ol>\n<p>*To get access to the patient portal, please contact the clinic so we can send you your acccess link to your email. Once your login is created, please visit our Patient Portal tab under &#8221; <a href=\"https:\/\/8042-1.portal.athenahealth.com\/\">Patient Resources<\/a>&#8220;<\/p>\n<\/div>\n<\/div>\n<div class=\"et_pb_module et_pb_text et_pb_text_2 asthma-mod1  et_pb_text_align_left et_pb_bg_layout_light\">\n<div class=\"et_pb_text_inner\">\n<h3>Remember to bring:<\/h3>\n<ul class=\"disc\">\n<li>Your insurance card<\/li>\n<li>Valid photo ID<\/li>\n<li>List of current medications<\/li>\n<li>Office co-pay<\/li>\n<\/ul>\n<div class=\"\">\n<p class=\"\">In an effort to respect the time of all of patients, our staff strives to stay on schedule so that other patients do not have to wait.<\/p>\n<p>For patients who are delayed and arrive late for appointment, every effort will be made to see them the same day. However, wait times may apply, or appointments may need to be rescheduled.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"et_pb_module et_pb_text et_pb_text_3 asthma-mod1  et_pb_text_align_left et_pb_bg_layout_light\">\n<div class=\"et_pb_text_inner\">\n<h3>Patient Forms<\/h3>\n<p><span style=\"color: #3366ff;\"><a href=\"https:\/\/www.myprivia.com\/sites\/default\/files\/2023-07\/Authorization_Release_Form.pdf\t\" style=\"color: #3366ff;\">Authorization for Release of Medical Information (PDF)<\/a>\u00a0<\/span>\u2013 Allows patients to authorize the disclosure of their health information to a designated individual, company, agency, or facility.<span style=\"color: #3366ff;\">\u00a0<a href=\"https:\/\/www.myprivia.com\/sites\/default\/files\/2023-07\/SPANISH_Authorization_Release_Form.pdf\" style=\"color: #3366ff;\">Autorizaci\u00f3n De HIPAA Para Divulgar Informaci\u00f3n Del Paciente<\/a><\/span><\/p>\n<p><a href=\"https:\/\/www.myprivia.com\/sites\/default\/files\/2023-07\/Authorization_and_Consent_for_Treatment_Form.pdf\">Authorization and Consent for Treatment (PDF)<\/a><span>\u00a0<\/span>\u2013 All patients must provide their consent for treatment, communications (calls, emails, and text messaging), and agreement of financial responsibility.<a href=\"https:\/\/www.myprivia.com\/sites\/default\/files\/2023-07\/Autorizaci%C3%B3n_y_consentimiento_para_el_tratamiento.pdf\"><span style=\"color: #3366ff;\">\u00a0Autorizaci\u00f3n y Consentimiento Para el Tratamiento<\/span><\/a><\/p>\n<p><span style=\"color: #3366ff;\"><a href=\"https:\/\/www.myprivia.com\/sites\/default\/files\/2023-07\/Preferred_Contacts.pdf\t\" style=\"color: #3366ff;\">Preferred Contacts (PDF)<\/a><\/span><span>\u00a0<\/span>\u2013 Patients are encouraged to complete and return the Preferred Contacts Form but it is not required.<span>\u00a0<\/span><span style=\"color: #3366ff;\"><a href=\"https:\/\/www.myprivia.com\/sites\/default\/files\/2023-07\/Contactos_preferidos.pdf\" style=\"color: #3366ff;\">Contactos Preferidos<\/a><\/span><\/p>\n<p><span style=\"color: #3366ff;\"><a href=\"https:\/\/www.myprivia.com\/sites\/default\/files\/2023-07\/Virtual_Visit_Tech_Policy.pdf\" style=\"color: #3366ff;\">Virtual Visit Policy (PDF)<\/a><\/span><span>\u00a0<\/span>\u2013 This policy describes the process for the documentation, maintenance, and transmission of information using virtual visit technology.<\/p>\n<\/div>\n<\/div>\n<div class=\"et_pb_module et_pb_text et_pb_text_4 asthma-mod1  et_pb_text_align_left et_pb_bg_layout_light\">\n<div class=\"et_pb_text_inner\">\n<h3>Office Policies<\/h3>\n<p><a href=\"https:\/\/www.myprivia.com\/sites\/default\/files\/2023-07\/Financial_Policy.pdf\"><span style=\"color: #3366ff;\">Financial Policy (PDF)<\/span><\/a><span>\u00a0<\/span>\u2013 This form advises patients of their complete financial responsibility for all medical services received without regard to insurance eligibility or coverage determinations.<span>\u00a0<\/span><span style=\"color: #3366ff;\"><a href=\"https:\/\/www.myprivia.com\/sites\/default\/files\/2023-07\/SPANISH_Financial_Policy.pdf\" style=\"color: #3366ff;\">Pol\u00edtica Financiera (PDF)<\/a><\/span><\/p>\n<p><a href=\"https:\/\/www.myprivia.com\/sites\/default\/files\/2023-07\/Notice_of_Privacy_Practices_8042.pdf\t\"><span style=\"color: #3366ff;\">Notice of Privacy Practices (PDF)<\/span><\/a><span>\u00a0<\/span>\u2013 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.<span>\u00a0<\/span><span style=\"color: #3366ff;\"><a href=\"https:\/\/www.myprivia.com\/sites\/default\/files\/2023-07\/SPANISH_Notice_of_Privacy_Practices_8042.pdf\" style=\"color: #3366ff;\">Aviso de pr\u00e1cticas de privacidad (PDF)<\/a><\/span><\/p>\n<p><span style=\"color: #3366ff;\"><a href=\"http:\/\/www.priviahealth.com\/HIPAA\/\" target=\"_blank\" rel=\"noopener\" style=\"color: #3366ff;\">HIPAA Privacy Notice<\/a><\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Become a New Patient We are currently accepting new patients into our practice. Thank you for considering us. To become a new patient: Make an Appointment Download your patient forms online Sign up for our patient portal *To get access to the patient portal, please contact the clinic so we can send you your acccess [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"class_list":["post-1622","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/dominionfhc.com\/index.php\/wp-json\/wp\/v2\/pages\/1622","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dominionfhc.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dominionfhc.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dominionfhc.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dominionfhc.com\/index.php\/wp-json\/wp\/v2\/comments?post=1622"}],"version-history":[{"count":13,"href":"https:\/\/dominionfhc.com\/index.php\/wp-json\/wp\/v2\/pages\/1622\/revisions"}],"predecessor-version":[{"id":2748,"href":"https:\/\/dominionfhc.com\/index.php\/wp-json\/wp\/v2\/pages\/1622\/revisions\/2748"}],"wp:attachment":[{"href":"https:\/\/dominionfhc.com\/index.php\/wp-json\/wp\/v2\/media?parent=1622"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}