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12359 Sunrise Valley Drive, Suite 320, Reston, VA 20191
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My Psychiatrist
Schedule New
Patient Portal
New Patient
(571) 946-2189
Existing Patients
(703) 596-4796
  • Home
  • Services
    • Medication Management
    • Counseling
    • TMS
    • Patient Resources
    • Panic Disorder
    • ADHD
    • Panic Disorder
    • Anxiety
    • Depression
    • Bipolar Disorder
    • Substance Abuse/Issues
    • Psychotic Disorder
    • Eating Disorders
  • Clinicians
    • Madan Uprety, MD
    • Sanju Adhikari, MD
    • Samina Raja, MD
    • Ryan Vesny, MD
    • Sahley Razai, PA-C
    • Meira Yasin, PMHNP-BC
    • John Getz, Psy.D
    • Catherine Crowe, LPC
    • Kara Callaghan, LPC
    • Kathleen Martens, PsyD
  • Clinic Policy
    • Medication Refill Policy
    • Cancellation Policy
    • Financial Policy
    • Notice of Privacy Practices
    • Insurance
  • Testimonials
  • Resources
    • Patient Portal & Forms
      • Patient Intake Form
      • Consent to Release Form
    • Careers
  • COVID-19 Response
  • Contact

Professional, concerned
& compationate psychiatric care.

Consent to

Release Form

GET FORMS

Download and complete our Consent to Release Form and bring to your first appointment or you can email them to us.
Click HERE to email your forms.

New patient
Existing Patient

Learn More

  • Patient Intake Form
Psychiatrist.PLC

My Psychiatrist, PLC

12359 Sunrise Valley Drive, Suite 320, Reston, VA 20191
New Patient Hotline: (571) 946-2189
Existing Patients:(703) 596-4796
Fax: (703) 787-8210

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