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Fax Number: 804-378-5400
ATTENTION: Due to the extremely high call volume, our response time for telephone messages has been delayed. Please use the following link (Patient Portal Link) to sign up for our portal so we can answer your messages in a timely manner.
Controlled Substance Medication Agreement
Part 1
Part 2
To complete an online version of this form. Please go to this link:
Controlled Substance Medication Agreement Form
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To download and print: click here
For Spanish translation: click here
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If you have any questions, please call our office at 804-378-1800.
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