" /> Patient Registration Form - Fairfax Urgent Care

Fairfax Urgent Care Patient Registration Form

Get ready to experience quality health care.

Step 1 of 7

GENERAL INFORMATION

//

Fairfax Urgent Care Center & Family Practice

We pride ourselves on providing Prompt, Professional, Quality Medical Care, a quick low cost alternative to ER for common illness & immediate care services.

New Patient Form

To expedite your visit, you can fill in the online Registration Form

Or download the registration forms, fill it out, and bring it with you. It’s that easy!

Address: 8191 Strawberry Lane, Suite 6, Falls Church, VA 22042. (Enter the parking of Chipotle in Mosaic district)

Phone: 703-493-0404

Hours of Operation: Mon-Fri: 8am to 8pm / Sat-Sun: 8am to 6pm