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Physician Referral Participation Policy

  1. Physicians credentialed with Active or Provisional privileges at an Inova hospital or Courtesy privileges for Primary Care physicians (Family Practice, Internal Medicine and Pediatrics).
  2. Maintain a medical practice office in Northern Virginia.
  3. Physician practice information must be updated annually.
If your current privileges with Inova meet the above qualifications, please complete the following information and hit submit. A representative will be in touch with you within two business days to assist you.
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First Name:
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Last Name:
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Email:
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Specialty:
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Affiliation:
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Status:
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Other: