Patient Forms

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Dr. Chiantella's practice is managed by Loudoun Medical Group. You may see this on some of the registration documents.

IF YOU ARE A NEW PATIENT BEING SEEN BEFORE AUGUST 31, 2020 please follow the instructions below.

NEW PATIENTS with appointments before August 31: Please print and complete the registration forms below. These documents can not be completed online. Please bring your completed forms to your appointment, and please arrive at least 15 minutes ahead of your appointment time. DO NOT EMAIL THESE FORMS as this is private information and your outgoing emails are not encrypted. If you prefer to complete the forms in the office, before your appointment, please arrive 45 minutes early, and we will provide the forms for you at that time.

RETURNING PATIENTS: Please arrive 15 minutes before your appointment time so we can update your information as needed before your visit. There are no online documents for you to complete. (Yay!)

This is what you need to bring to your appointment:

--Your current insurance card and photo ID.

--A list of all your medications, including name, strength, and dose of each medicine and supplement

--A referral if your insurance requires it. It is your responsibility to know if your insurance plan requires a referral

Wear a two piece outfit so you can easily change into an exam cape that ends at your waist.

All the imaging centers are doing screening mammograms now. However, the Peterson Family Breast Center on the Inova Loudoun Hospital Campus is permanently closed. As you  may know, Inova in partnership with Fairfax Radiology has taken over what used to be RIA, and a reorganization of breast imaging services is in progress. This is part of that reorganization. All the breast imaging services previoulsy offered at the Peterson Center are currently available across the street at the the former RIA Lansdowne office, and images from the Peterson center studies are availble to the radiologists at that Lansdowne location.

I wish to update you regarding what you need to bring imaging to the office with regard to your breast images.

The images from your mammogram, breast ultrasound, or breast MRI  are accessible to physicians through secure portals at all radiology centers. This allows images to be accessed through a computer. Because of this, we no longer require that you pick up any films or CDs of imaging for your office visit, unless the imaging was done out of the area. We also access the radiology reports in this manner. Below is a list of facilities for which we have computer portal access. If your facility is not on the list, please call our office:

Reston Radiology: Loudoun Imaging in Ashburn, Fair Oaks Imaging Center, Womens Imaging Center of Reston (on the Reston Hospital Campus)

Fairfax Radiology - all locations are accessible, including Inova Loudoun Hospital, the Cornwall campus, and what used to be called RIA in Lansdowne and CountrySide/Sterling (these are now part of Inova/Fairfax Radiology)

Washington Radiology - all  locations are accessible

Progressive Radiology in Winchester

I DO NOT have computer access to imaging from: Winchester Medical Center, Novant facilities including Haymarket, Prince William Hospital, Fauquier Hospital, Virginia Hospital Center, George Washington Hospital system, Medstar Georgetown Hospital system, Medstar Washington Hosptial Center, Johns Hopkins System/Sibley. Imaging from these sites MUST be provided on CD.

If your imaging was done out of the area, you will need to arrange for a CD to be sent to the office and it must arrive prior to your appointment. Otherwise, CDs may be brought at the time of your appointment

AN IMPORTANT WORD ABOUT DIGITAL AND 3D BREAST IMAGING:

When viewing breast images via computer, please be aware that the image quality is NOT THE SAME as what the interpreting radiologist sees, as the radiology viewing system is very sophisticated and of significantly higher resolution than monitors outside of the imaging center. In that regard, it is sometimes difficult for me to render a completely independent review of your images. If that is true in your case, I will discuss it with you after I review your images in the office.

The 3D portion of a 3D mammogram is read dynamically by scrolling through a series of images rapidly, much like a video, and your eye is drawn in and out of the tissue uncovering the anatomy better than a single flat (2D) image. Until recently, the 3D portion of a mammogram study could be scrolled through ONLY ON THEY SYSTEM WHERE IT WAS RECORDED,  ie, only in the imaging center where it was taken, NOT via computer outside of the imaging system. HOWEVER,  Loudoun Imaging Center in Ashburn and FairOaks Imaging Center have software that allows me to scroll through the images remotely, thankfully! The only other site for which I can do this is Progressive Radiology in Winchester. However, the quality of these images is still not as good as what the radiologist sees on their workstation monitors. Therefore, for local imaging needs you may wish to consider having your imaging done at Loudoun Imaging in Ashburn, (or Fair Oaks Imaging Center for our Reston/Herndon/Chantilly area patients) so I can see what the radiologist sees, and not just the 2D portion of your study. When our new office facility opens and the imaging department in the office is up and running, I will have an actual complete radiology workstation on which to view images, and will be able to see everything the radiologists from Loudoun Imaging or Fair Oaks Imaging can see, including the dynamic 3D imaging,  with the same high resolution with which they interpret breast images! 

Please be aware that until the move into the new LMG Comprehensive Breast Center in September, I currently share office space with a primary care practice. The office is practicing social distancing in the reception area. You may not enter the office without a mask. Please do not bring your children to your visit with me. We will call you with a series of COVID screening questions prior to your visit, and if there are any positive answers we may ask you to rechedule after 2 weeks of self-quarantine. The primary care portion of the office does the same, and is not permitting any patients to enter the office who may have symptoms related to COVID. It may sound silly at first, but please bring your own pen if you need to fill out paperwork in the office, and there are hallway sinks available inside the office if you wish to wash your hands on entering and/or before leaving. My patients do not share exam rooms or any equipment used by the primary care practice.

AN IMPORTANT WORD ABOUT DIGITAL AND 3D BREAST IMAGING:

When viewing breast images via computer, please be aware that the image quality is NOT THE SAME as what the interpreting radiologist sees, as the radiology viewing system is very sophisticated and of significantly higher resolution than monitors outside of the imaging center. In that regard, it is sometimes difficult for me to render a completely independent review of your images. If that is true in your case, I will discuss it with you after I review your images in the office.

The 3D portion of a 3D mammogram is read dynamically by scrolling through a series of images rapidly, much like a video, and your eye is drawn in and out of the tissue uncovering the anatomy better than a single flat (2D) image. Until recently, the 3D portion of a mammogram study could be scrolled through ONLY ON THE SYSTEM WHERE IT WAS RECORDED,  ie, only in the imaging center where it was taken, NOT via computer outside of the imaging system. HOWEVER Loudoun Imaging Center in Ashburn has software that allows me to scroll through the images remotely, thankfully! The only other site for which I can do this is Progressive Radiology in Winchester. Therefore, for local imaging needs you may wish to consider having your imaging done at Loudoun Imaging in Ashburn, so I can see what the radiologist sees, and not just the 2D portion of your study.

~~VC

We accept most types of health insurance. Please contact us for further details, or if you have any questions at all regarding your appointment.