Prince William Family Counseling

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Prince William Family Counseling

Manassas Office
8140 Ashton Ave.,
Suite 200
Manassas, VA 20109
(703) 330-9933
(703) 368-8454 (fax)

Woodbridge Office
12721 Darby Brook Ct.,
Suite 102
Woodbridge, VA 22192
(703) 497-1771
(703) 497-1225 (fax)

Stafford Office
(site link)
11 Hope Rd.,
Suite 213
Stafford, VA 22554
(540) 658-0888
(540) 658-0855 (fax)

General Hours
Daily: 8 AM - 10 PM

New Patient Forms

Save time by completing these forms ahead of time and either faxing them in or bringing them with you for your visit.

Step 1) Please complete the New Patient Intake Form

On-Line Form: Click here.

Printable Form: Click here.

Once you’ve completed one of these forms, please fax it to (703) 368-8454 for the speediest response. You will receive a call within one business day. If you do not have access to a fax, please drop off or mail your form to your nearest office location:

Manassas Office
8140 Ashton Avenue, Suite 200
Manassas, VA 20109
703-330-9933

Woodbridge Office
12721 Darby Brook Court, Suite 102
Woodbridge, VA 22192
703-497-1771

Stafford Office (Stafford Family Counseling)
11 Hope Road, Suite 213
Stafford, VA 22554
540-658-0888

Step 2) Once we verify your information and insurance coverage, we will ask you to complete our New Patient Information Packet.

Manassas & Woodbridge Patients: (7 pages, please click here to download). Please bring this completed form with you to your first appointment or fax it ahead of time to 703-368-8454.

Stafford Patients: (8 pages, please click here to download). Please bring this completed form with you to your first appointment or fax it ahead of time to 540-658-0855.

Note: All forms require Adobe Reader. Please click here to download Adobe Reader.

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Prince William Family Counseling serves people residing in: Warrenton, Bealeton, Gainesville, Haymarket, Bristow, Sudley, Bull Run, Old Town Manassas, Manassas, City of Manassas, Prince William, Prince William County, PWC, Independent Hill, Lake Ridge, Occoquan, Belmont, Dale City, Montclair, Woodbridge, Dumfries, Garrisonville, Stafford, Aquia, Falmouth, Hartwood, Spotsylvania, Centreville, Virginia Run, Fairfax, Fairfax County, Old Town Fairfax, Chantilly, Virginia.

Prince William Family Counseling serves the following zip codes in Northern Virginia: 20186, 20187, 20115, 20198, 22712, 20137, 20143, 20155, 20156, 20168, 20169, 20136, 20155, 20181, 20187, 20155, 20109, 20110, 20111, 20112, 20136, 20181, 22192, 22125, 22191, 22193, 22025, 22026, 22554, 22556, 22134, 22405, 22406, 22554, 22407, 22508, 22407, 22408, 22401, 22408, 22553, 20120, 20121, 20124.