Patient Forms

To help expedite your first visit, please download, print and complete the patient forms. Bring them with you when you come in for your first visit. If you choose to fill out the form packet at our office, please arrive 10-15 minutes before your appointment to allow enough time to get them completed before your appointment.

Our forms are PDF files. In order to download and print them, you’ll need the free Adobe Acrobat Reader program: iPad/iPhone | Android | Desktop

Physician’s Prescription

In the State of Virginia, you may come in for an evaluation and treatment without a prescription from a physician or other health care practitioner. This is called “direct access”. Most insurance companies cover direct access care. But, if your insurance provider requires a physician prescription so they can authorize coverage for your care, you can download the prescription form. Then, have your physician complete it and fax it back to the location at which you will be seen. The fax numbers for both our locations are at the bottom of the form. Thank you!