Policies & Forms
Learn about the policies that help us provide you with the very best of care.
RTCP is dedicated to providing you with the highest quality, cost effective medical care. Our billing team is available to answer any questions you may have regarding your insurance coverage or billing issues. Contact them at (703) 435-0726 or billing@rtcpeds.com.
Registration forms for new patients, release and consent forms, and developmental assessment tools
School, camp, sports, daycare, and medication administration forms
We are going Green! Starting June 15, 2024, after a completed Well Check, Virginia School Forms will be shared to the patient portal. If a printed copy is required, there is a fee of $20 per printed form.
Please bring any other forms that require a provider’s signature with you to your child’s yearly physical exam, so we can complete them at no additional cost to you. Please ensure that you complete all components of that form prior to your child’s arrival at our office.
If the necessary forms are not presented at the time of the yearly physical exam, but rather brought in or mailed to our office for completion after that visit, you will be charged a $20 administrative fee for each form.
If you need the form(s) in less than 72 hours, the charge is $20 for each form PLUS an extra $25 rush fee for the form(s).
For example, if a family is requesting 3 forms for 3 children with a rush request, the total charge is $60+$25 = $80 Total for forms. Fees will be due prior to pickup of the completed forms.
If you are requesting that our office mail your child’s form back, you will need to send payment along with that form. Please be aware that these fees are not covered by your medical insurance policy.
At RTC Pediatrics, we believe that all children should receive the recommended vaccines according to the schedule provided by the American Academy of Pediatrics (AAP) and the CDC. Vaccines are safe and effective in preventing diseases and their subsequent health complications.
For the safety of all our patients, families and staff, we require all of our patients to receive all recommended vaccines by age 2. We are happy to discuss any concerns about vaccines at your child’s next visit.
1830 Town Center Dr.
Suite 205
Reston, VA 20190
Map & Directions »
Phone
(703) 435-3636
Fax
(703) 435-9145
Billing Team
(703) 435-0726
billing@rtcpeds.com
Monday - Friday
8:00 am - 6:00 pm
Telephone advice available 8am - 1pm, 2pm - 5pm
Saturday
9:00 am - 12:00 pm
By appointment only
We are required to report visits outside of normal business hours to your insurance provider. Appointments scheduled before 8am, after 5pm, on Saturdays and on Federal holidays will incur an additional fee, which may be applied to your copay, coinsurance, or annual deductible.
We are closed for Christmas Day, New Years Day, Memorial Day, Independence Day, Labor Day, and Thanksgiving Day.
Monday
8:00 am - 9:00 am
Tuesday/Wednesday/Thursday
BY APPOINTMENT ONLY -
Friday
8:00 am - 9:00 am
Our Walk-In Sick Clinic on Monday and Friday is for children with minor illness symptoms lasting less than a week. Patients are seen on a first come-first served basis. Please bring your insurance card and be prepared to pay your copay, if applicable.
If your child’s illness or injury is life threatening, call 911.
Save time and call us before you take a trip to urgent care. When the office is closed, you may choose to be connected to our after-hours answering service. If needed, they can connect you to the physician on call. The fee to speak to someone after hours is $25/call. This service is not billed to your insurance.
Poison Control Hotline
(800) 222-1222