New Patient Forms

If you are a new patient with our practice we will need you to fill out a few forms before your first appointment. To save time before your appointment, download/print the forms in advance, fill them out, and bring them with you. We are more than happy to answer any questions you may have when you arrive for your appointment.



Insurances/Payment Information

We request co-payments and deductibles at time of visit.

We offer a discount for self-pay patients.

Methods of Payment: Cash, Check, Visa, and Mastercard.

We participate with Aetna, Anthem BC/BS (PPO), Cigna, Medicare, PCHP, Humana


Please call the customer service number on the back of your card to find out if we participate with your particular plan. It is the patient's responsibility to be aware of the specific details regarding their own insurance policies.

If you have any questions regarding insurance, billing, or payments, please call (434) 385-9756 and ask to speak with Dee-Dee or Mary Beth.


Contact Us

Telephone: (434) 385-7578
Fax: (434) 385-9756

113 Wiggington Road
Lynchburg, VA 24502

About Us

Wiggington Road Family Practice is a primary care physician's office in Lynchburg, Virginia that can help your entire family with their health care needs. Our goal is to bring you the very best comprehensive care in the region.