Complete Your Paperwork Ahead of Time!
Find the required forms below, and have them ready for your first appointment so you can get seen by the doctor sooner.
Step 1. Download Clinic Form
Click “Download Form” for the clinic that you are planning on visiting.
Once downloaded, move on to step 2.
3925 Chain Bridge Rd, Ste 101
Fairfax, VA 22030
Ft Washington, MD
9300 Livingston Rd, Suite 100
Fort Washington, MD 20744
827 E Rockville Pike
Rockville, MD 20852
4301 Garden City Dr, Ste 104
Landover, MD 20785
Step 2. Download Pain Area Form
Download the form for the pain areas that you are being seen for.
Once downloaded, move on to step 3.
If you are being seen for your neck. Download this form.
If you are being seen for your shoulder. Download this form.
Arm, Wrist, or Hand
If you are being seen for your arm, wrist, or hand. Download this form.
Back or Hips
If you are being seen for your back or hips. Download this form.
Leg, Ankle, or Foot
If you are being seen for your leg, ankle, or foot. Download this form.
Step 3. Injury Related to Motor Vehicle Accident?
If your injury is related to a motor vehicle accident, another type of accident, or is related to a worker’s compensation case please download and fill out the following paperwork that applies to you IN ADDITION TO THE ABOVE FORMS. Please bring them with you to your first appointment
If the injury is NOT related to a motor vehicle accident, move on to step 4.
If you were involved in an auto-accident and you live in Virginia or DC, please fill out the following forms:
VA Motor Vehicle Accident Paperwork
Notice to Motor Vehicle Accident Injury Patients in Virginia
If you were involved in an auto-accident and you live in Maryland, please also fill out the following forms:
MD Motor Vehicle Accident Paperwork
And/Or If you were involved in a Worker’s Compensation Accident, please fill out the following forms:
Step 4. For Patients under 18
Is the Patient a Minor? If so, download: Consent to Treat a Minor.
If not, then you are done! Please bring all forms to your appointment.