Specialties & Services
Pediatric Surgery

For Referring Providers

Appointments: (703) 560-2236


Steps for Patient Referrals to the Pediatric Surgical Group:

  • We provide you with an easy-to-use Consultation Form.
  • Please complete the Consultation Form, include the patient’s demographics, patient’s insurance information, a recent progress note if available, and send by FAX to (855) 208-6018. Please provide the best contact number for your patient. Or, you may refer your patient to call us directly and we will fax you a Consult Request Form to fill out and fax back to us.
  • Our scheduling team will call the patient/family to schedule an appointment with one of our surgeons.
  • If you are referring for surgery, our scheduling team will obtain preauthorization for the surgery/procedure, if required by the patient’s insurance plan.
  • After the surgery is completed, our surgeon prepares a report which is sent to you at the office fax number listed on Consultation form.

Thank you for the referral to the Pediatric Surgical Group.

COVID-19 Update

We are closely following the most up-to-date announcements and information on the known cases of Novel Coronavirus (COVID-19). Because this information is always changing, we will be monitoring all updates from the  Centers for Disease Control and Virginia Department of Health. 

If you are experiencing cold or flu symptoms, please make sure to contact us via phone prior to your appointment. You may also contact us for any additional questions by calling our offices.

Here are a few additional resources as well: 

Virginia Department of Health

Centers for Disease Control