Poehailos, Dupont and Associates | Charlottesville mental health

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887 B Rio East Court
Charlottesville, VA 22901

Phone: (434) 220-4686
Fax: (434) 220-4687

Serving the mental health needs of Virginia's families

Patient Registration

Please come 15 minutes early for your first appointment!

Information to read:

Patient Information


HIPAA and Privacy Practices

Forms to complete for your initial appointment:

Child/Adolescent Patient Registration

Adult Patient Registration

MSC Background Information Form

Authorization for Release of Information