7430 Heritage Village Plz Unit 101

Gainesville, VA 20155-3089 US

(703) 753-3338

24430 Stone Springs Blvd, STE 100B, Dulles, VA 20166

For all questions, please contact [email protected]

MON-FRI openings available (Same or Next Day online)
SOUTH RIDING LOCATION AVAILABLE WEDNESDAYS 1-5PM

All routine and diabetic foot care appointments

MUST be made by PWFAC staff. Please call

Prince William Foot & Ankle Center

New Patients

Overview
Your first visit to Prince William Foot & Ankle Center, PC establishes a vital foundation for our relationship with you. During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. To understand what to expect for your first visit to our practice, please read through this page. You'll find all the practical information you need, such as a map and directions to our office and more. There's also background information about our committed staff and our first visit procedures. You can even save some time at your first visit by printing out and completing the patient forms in advance or filling out our online form prior to your appointment.

Mission Statement
Your healthcare is very important to us and we take each patient's problems seriously. Our goal is to get you recovered as quickly as possible, so you can enjoy the things you love to do.

Patient Forms (Click on underlined links)
Please print and fill out the NEW PATIENT FORMS (bring them with you) and read the HIPPA Privacy Policy so we can expedite your first visit. We will also require all established patients to fill the NEW PATIENT FORMS if they have not been seen in over 2 years to update your electronic medical chart.

NEW PATIENT PRINT FORM (click here) -  Please bring completed form with you.

Receipt of Notice of Privacy Practices Acknowledgement

HIPPA Privacy Policy (review or print for yourself)

Surgery Patient Instructions

Common Conditions Instructions

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.


What to expect
Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familiarize yourself with Dr. Bhakta. We look forward to your first visit.