Learn what you need to do to prepare for your exam.
Paperwork: All patients who are coming to VIVA for a procedure must have an order form or a prescription from their referring provider for the service requested. If you have insurance that requires an insurance referral, it is the patient’s responsibility to obtain one from your primary care physician. This applies to HMO insurances. A list of current medications and allergies will also be needed.

Clothing: We recommend that you wear comfortable, loose fitting clothing if possible. If you prefer, we have gowns that you may change into.

Diet: There may be dietary restrictions prior to your procedure. If this is the case, you will receive detailed instructions at the time of your consultation.

Medications: Please bring a list of your medications to your appointment. It may be necessary to be off blood thinners for up to 5 days prior to your procedure (Aspirin, Coumadin, Warfarin, Plavix, Aggrenox, and/or Ticlid). Please contact our office for further guidelines and recommendations. If you are on Lovenox, please don’t take it for 12 hours prior to your procedure. Please also inform the VIVA staff that you are on a blood thinner and the date that you stopped taking it.

Outside Imaging Studies: Any x-rays, CT scans, or other imaging studies performed within the Mary Washington Healthcare System are immediately accessible by our staff. If you have any pertinent imaging studies from outside medical centers, please bring those images (CD-ROM, hard copy films) and the paper reports to your appointment.

Timing: We ask that you arrive 15 minutes prior to your appointment time unless otherwise advised.

Special Instructions

Biopsies: It is recommended that you have a ride home but not required.

Joint Injections/Aspirations: It is recommended that you have a ride home but not required.

Nerve Root Blocks: You must have a ride home following the procedure. You will need to recover with us following the procedure. This will require between 30 minutes and 2 hours. We do not schedule this procedure after 1 p.m.

Epidural Injections: You must have a ride home following the procedure. You will need to recover with us for approximately 1 hour following the procedure. We do not schedule this procedure after 1 p.m.

PICC Line Placement: It is recommended that you have a ride home but not required. Your referring provider needs to arrange for a home health agency to care for your PICC line while it is in place and to provide you with needed supplies. We do not do medication infusions in our office. The infusions will be scheduled by your referring provider.

Endovenous Laser Therapy/Sclerotherapy/Ambulatory Phlebectomy/Radiofrequency Ablation: It is recommended that you have a ride home but not required. If you are taking a medication to relax you for the procedure, you must have a ride home. This medication should have been prescribed at your previous appointment and you must bring this with you to take prior to the procedure. You must bring your thigh high or pantyhose style compression hose the day of the procedure. If you don’t have them, we will not be able to do the procedure.

Paracentesis/Thoracentesis: It is strongly recommended that you have a ride home but not required.

If you have any questions about a procedure, please call our office at (540) 654-9118.