UPDATED: COVID-19 Vaccine Information and Resources. Learn more. Proudly part of Privia Health Menu MAKE AN APPOINTMENT Become a Patient Become a New Patient We are currently accepting new patients into our practice. Thank you for considering us. To become a new patient: Make an Appointment Sign up for our patient portal Download your patient forms online through the patient portal When you come to our office for the first time as a new patient, we'll ask you to complete some initial forms, including an Authorization and Consent for Treatment form, if you were not able to download them from the patient portal in advance of your appointment. To make sure there are no delays in care during your first visit experience, please arrive 15 minutes prior to your scheduled appointment to ensure your registration is complete before meeting with your new provider. Remember to bring: Your insurance card Valid photo ID List of current medications Office co-pay In an effort to respect the time of all of patients, our staff strives to stay on schedule so that other patients do not have to wait. For patients who are delayed and arrive late for appointment, every effort will be made to see them the same day. However, wait times may apply, or appointments may need to be rescheduled. Patient Forms Authorization for Release of Medical Information (PDF) – Allows patients to authorize the disclosure of their health information to a designated individual, company, agency, or facility. Authorization and Consent for Treatment (PDF) – All patients must provide their consent for treatment, communications (calls, emails, and text messaging), and agreement of financial responsibility. Preventive Medical Visit Patient Information (PDF) – Details financial responsibilities regarding preventive medical visits. Preferred Contacts (PDF) – Patients are encouraged to complete and return the Preferred Contacts Form but it is not required. Health History Questionnaire (PDF) Office Policies Financial Policy (PDF) - This form advises patients of their complete financial responsibility for all medical services received without regard to insurance eligibility or coverage determinations. Notice of Privacy Practices (PDF) - Describes how health information about you (as a patient of this Care Center) may be used and disclosed, and how you can get access to your individually identifiable health information. Please review this notice carefully. Aviso de prácticas de privacidad (PDF) HIPAA Privacy Notice Amherst Family Practice 1867 Amherst Street Winchester, VA 22601 540-667-8724 540-662-5638 Meet the Team Rachael M. Whittemore, PA-C Bret Ripley, DO Rhonda Cottino, PA-C William J. Bender, MD Patricia M. Houser, MD See More Patient Resources About Us At Amherst Family Practice, we combine a traditional family practice office with same day, by appointment, urgent care services to provide the perfect fit for today’s busy lifestyle. Our office is conveniently located in Winchester, VA. ©2021 Privia Health, LLC | All Rights Reserved | Privacy Policy | Terms of Use | Language Services | HIPAA Privacy Notice About Privia Careers Press Room Prospective Doctors