Patient Forms

To schedule your COVID-19 Pre-Procedure Test, Please visit: INOVA.ORG/COVIDTEST

The Test MUST be done 96-72 hours prior to your procedure. 

(EX: If your procedure is on a Wednesday, your COVID-19 test needs to be done Saturday or Sunday)

 

 

RETIREMENT  INFORMATION

RETIREMENT NOTIFICATION AND INFORMATION LETTER
Procedure Instructions & Forms

ATTENTION ALL PATIENTS!!

RE: MEDICAL RECORDS RELEASE LETTER

 

The Medical Records Transfer/Request Form only needs to be filled out if you have an appointment with Gastro Health before April 1, 2021 in order for your chart to be picked up and transferred. If you do not have an appointment before then ALL records will automatically be sent to Gastro Health on April 1, 2021. We are legally required to keep a copy of your chart for 6 years. Due to Dr. Ranard's retirement, we have selected Gastro Health as the Custodian of our records. If you are seeing another Provider you can request a copy of your records from Gastro Health after April 1st. If you do not need your records now for an upcoming appointment, you do not need to do anything. Due to high demand, we are no longer processing medical records requests received after the February 1, 2021 deadline. Due to high call volumes, we are requesting you do not call the office or leave messages regarding Medical Records. Thank you! 

TRANSFER OF CARE FORM
(MEDICAL RECORDS RELEASE) 
GASTRO HEALTH
 
FOR APPOINTMENTS WITH GASTRO HEALTH PRIOR TO 04/01/2021 
Bowel Prep Instructions

PLEASE DOWNLOAD AND READ FOR UPDATED MEDICAL RECORDS INFORMATION. 

Records Release to another Physician
(other than Gastro Health) prior to 04/01/2021

Call

T: 703-560-3510   F: 703-876-0253
 

Contact Webmaster

web@novagidoc.com

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