Please print release form and either fax completed form to 833-464-3281 or mail/dropoff to 1691 Innovation Drive Ste 2100, Blacksburg, VA 24060
Note: When filling out the form, please list "APCA" as who you "authorize and request."
If your appointment does not fit these requests, please send us an appointment request. You see what we see in our scheduling system. Appointments are constantly added as our schedule changes!