At Bon Secours Virginia Breast Center we treat breast cancer and benign breast disease using the latest surgical technology as well as detection and state-of-the-art diagnosis techniques, including digital mammography, breast ultrasound, and needle biopsies.


Appointments

Our offices are open Monday through Thursday from 8:30am to 5pm, and Friday, 8:30am to 3pm. In order to provide you with the best possible care, please bring a list of all current medications, any up-to-date medical information and your insurance card. If you need to cancel your appointment, please contact us 24 hours in advance.

Mammography Instructions

If you have had a previous mammogram, you must bring your most recent films with you. On the day of your test, do not wear jewelry around your neck, lotion or deodorant. Wear a two-piece outfit, as you will be asked to undress from the waist up.

Forms to Complete

New Patient Information Forms are required to be filled out and handed in to our office when you arrive for your first visit. Please select each of the New Patient Forms below. The forms will open as an Adobe PDF file that you can print out and complete.

Patient History

Patient Registration

Authorization to Release Healthcare Information

Permission to Disclose Private Health Information (PHI)

Treatment and Payment

If you do not have Adobe Acrobat Reader, download here.

 

Insurance Information

 

It is your responsibility to find out from your insurance carrier whether you need a referral and what your financial responsibility will be.

We currently participate with the following carriers:

  • Anthem Blue Cross Blue Shield
  • Aetna
  • Cigna
  • CENVANET/CVHN
  • MAMSI
  • Medicare
  • Medicaid
  • Optimum Choice
  • Private Healthcare Systems
  • Southern Health
  • Tricare - Standard and Prime
  • United Healthcare
  • Virginia Health Network

If your insurance company is not on this list, contact them and check to see whether we are a participating provider. Thank you for your assistance in making this a smooth process.

Call our office to learn about self-service options.