Patient Registration & Resources

New Patient Forms

To complete your new patient forms online, please click the button below:

Online New Patient Forms

You may also access PDF versions of our new patient forms by clicking the following links:

Authorization of Release of Medical Information

Consent to Treat

Preferred Contacts

Telemedicine Consent

Financial Policy/Self-Pay

HIPAA Privacy Act

Membership Form

Coronavirus Announcement

For your safety and the safety of others, if you have a fever, cough, and/or shortness of breath, please stay at home and call 703-940-0635 to reschedule. You can also schedule a virtual visit. The Mehra Clinic is not performing Coronavirus testing at this time. Thank you for your understanding and cooperation.

All of our staff have received the COVID-19 vaccine.