500 Montgomery St. #250 • Alexandria, VA 22314 • Phone: 703.836.7000

We have made our new patient forms available to you as Adobe Acrobat files. For your convenience, we recommend printing and completing these forms at home.

Please remember to bring your completed forms with you for your first appointment. If you have any problem getting these files to print properly, please call our office and we will gladly send or fax them to you.

• New Patient Information
• Medical History Form
• Statement of Privacy Practices

 

Download Adobe Acrobat Reader Now

Call Dr. Kim Kitchen and Dr. Clifton Harris today if you live in the Washington DC or Alexandria, VA area.
Our state-of-the-art office in Old Town Alexandria is convenient, and our team can't wait to make you smile.