Choose Your Clinic
Where Is Your Pain?
Is Your Injury Related To A Motor Vehicle Accident?
3.
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 you were involved in an auto-accident and you live in Virginia or DC, please fill out the following forms:
If you were involved in an auto-accident and you live in Maryland, please also fill out the following forms:
If you were involved in a Worker’s Compensation Accident, please fill out the following forms:
Is The Patient A Minor?
4.
Is the patient a minor? Consent to Treat a Minor
Please bring this it with you to the child’s first appointment. A parent or legal guardian will need to accompany the minor to their first visit.