Patient Forms and Appointments

In order for Fairfax Foot and Ankle Specialists to provide the most efficient and comprehensive care to our patients, listed below is the information you will need for an appointment, our office hours and the healthcare plans and insurance accepted by this practice.

We ask that you download the patient registration forms and bring it to your appointment along with the following information:

  • Photo ID or driver’s license
  • Referral from your primary care physician, if applicable
  • Any reports, x-rays or lab results regarding the condition for the scheduled appointment
  • Your current insurance card(s)
  • Your co-payment as indicated in your insurance contract
  • Full payment for services for those patients without insurance
  • We accept cash, checks, Visa/MasterCard

Cancellations – please notify as soon as possible if you need to change or cancel your appointment by calling 571-655-2749

Office Hours

Monday 9:30 am – 7:30 pm
Tuesday 9:30 am – 7:30 pm
Wednesday 9:30 am – 7:30 pm
Thursday 9:30 am – 7:30 pm
Friday 9:30 am – 7:30 pm
Saturday 8:00 am – 1:00 pm


Consent and HIPPA Compliance – Download / Print

Intake Form – Download / Print


We accept most insurances and participate with most major healthcare plans.

  • Aetna
  • Anthem Blue Cross/Blue Shield
  • Cigna
  • Carefirst
  • Humana
  • Johns Hopkins HealthCare (JHHC) EHP
  • Medicaid
  • Medicare
  • Multiplan
  • Railroad Medicare
  • Tricare
  • United Healthcare
  • Virginia Health Network
  • Virginia Premier

If you do not see your health plan listed, please call our office at 571-655-2749 to confirm that your plan is accepted.