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.
- New Patient Information Handout – Amelia
- New Patient Information Handout – Blackstone
- Patient Registration
- Medical History
- Permission Form
- Permission Form for Returning Patients
- Patient Registration for Minors
As of July 1, 2015, in the State of Virginia, you may come in for an evaluation and up to 60 days of treatment without a prescription from a physician or other health care practitioner. This is called “direct access” or “self referral.” 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!