Sterling Pediatrics accepts many forms of payment.

Cash
Personal Checks
Major Credit Cards 

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.
Please verify with your insurance company to make sure we accept your insurance. 

Insurance 


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Forms of Payment

Forms


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