Pediatric Cardiology Associates (PCA)
Main Office Phone: 703-876-8410/Fax: 703-876-8417
Shady Grove Phone: 301-424-8484/Fax: 301-424-1835
- Audiology
- Cardiology
- Major Health Plans Accepted
- Health plans accepted include:
- Aetna EPO, PPO, POS, HMO
- Americhoice
- Amerigroup
- Anthem BCBS of Virginia
- Carefirst BCBS NCA Select Plan PPO
- Carefirst Blue Choice HMO
- Carefirst Blue Choice Network NCA HMO
- Cigna PPO
- Community Health Partners Network
- DC Medicaid
- Health Net Federal (Tricare)
- Healthkeepers Plus
- InTotal Health
- Johns Hopkins Health System
- Kaiser Permanente MCO, POS, EPO
- Maryland Medicaid
- Maryland Physicians Care
- Medical Care for Children Partnership
- MedStar Family Choice
- Priority Partners
- Riverside
- Signature Partners Innovation Health Leap POS
- Signature Partners Open Access HMO
- Tricare
- Unicare
- United Healthcare MDIPA HMO
- United Healthcare Optimum Choice HMO
- United Healthcare PPO, POS
- Virginia Health Network PPO
- Virginia Medicaid
- Virginia Premier
- *Note: We participate with most Anthem products.
- All insurance is subject to verification.
- Please call our office if you do not see a particular plan listed above
General Forms
- Patient Registration
- Patient Health Questionnaire (English/Spanish)
- Follow-Up Visit Form
- COVID-19 Pre-visit Screening
- Chest Pain Questionnaire
- Palpitation Questionnaire
- Syncope Questionnaire
- Fetal Cardiology Questionnaire (English/Spanish)
- Medication Reconciliation Form
- Medical Records Release
- Notice of Non-Discrimination - Language Assistance Services
- Notice of Privacy Practices
Appointment Prep Forms
- Food and Exercise Diary
Other Languages
- Registro de Paciente
- Cuestionario de Dolor de Pecho
- Cuestionario de Palpitaciones
- Cuestionario de Síncope
- Autorización para divulgar infomación de salud protegida
- Aviso de Prácticas de Privacidad Formulario de Acuse de Recibo del Paciente
- Medica Solicitar Registros
- Notificación de Prácticas de Privacidad
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