Patient Information
Since 1996, Prince William Family Counseling has provided outpatient mental health care to patients in Manassas, VA and the surrounding areas. Our clinical staff are well-respected, knowledgeable, and offer evidence-based care for healthy outcomes. We are committed to improving the mental health and overall wellbeing of each of our patients, by providing a wide range of psychological testing and counseling services to meet your individual needs.
Patient Forms
Please download, print and fill out the following forms and fax them to 703-368-8454. If you do not have access to a fax machine, please drop them off or mail them to our office.
- Intake (All New Patients)
- Personal History – Adult 18 and Older (If Applicable)
- Personal History – Children & Adolescents Younger than 18 (If Applicable)
- New Patient Form (All New Patients)
- Release of Records
Insurance & Payment Information
For patients without health insurance, payment is due at the time services are rendered. For patients with health insurance, co-pays are collected at your visit check-in. Please give us a call at 703-330-9933 if you have any questions regarding your insurance coverage. If your insurance does not cover mental health services, there is a self-pay counseling program.
We have individual and facility contracts with all major and many smaller insurance companies.
For more information about our practice, or to schedule an appointment with us, contact us today at 703-330-9933. To join our group of qualified clinicians, apply for a position today.