Patient Forms:

General Medical

• American Academy of FamilyPractice
  

• General Drug Information
  

• Center for Disease Control (CDC)
  

• US Gov. Healthfinder
  

Pediatric Resources

• American Academy of Pediatrics
  

Women's Resources

• The National Women's Health Information Center
  

Travel Resources

• Center for Disease Control (Travel)
  

Patient Information (pdf)

Patient Medical History (pdf)

Authorization of Medical Records Release (pdf)

Websites of Interest:

Diet, Weight Management and Nutritional Advice

• American Dietetic Association
  

• Dr Koop's Shape Up America
  

• The DASH Diet to Lower Hypertension
  

• Calories Per Hour
  

Cancer Resources

• Cancer Information
  

Prescription Medication Financial Assistance

• Helping Patients
  

• Benefits Checkup
  

• Prescription Assistance
  

Dr. Cecily Havert

"My professional goal is to deliver the best Primary Care to my patients in a compassionate manner using evidence based knowledge."

703-971-8600

Springfield Family Medicine

703-971-8600

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