Sterling Pediatrics accepts many forms of payment.

Personal Checks
Major Credit Cards 

Forms of Payment

We accept most major health insurance policies.Exceptions include Kaiser Permanente and New Medicaid.We are also currently not accepting any new patients for Amerigroup.
To make sure we accept your insurance, please verify with your insurance company. 


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The forms below are in PDF format for easy download, viewing and printing. You may complete these forms and return them to us by mail, fax or dropping them at our offices.

 New Patient Registration Form 

 Insurance Information Form

 HIPPA Regulations Authorization Form

COVID-19 Pre-screening questionnaire

Loudoun Medical Group Telemedicine Consent Form