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.
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Choose Your Clinic

1.

Virginia

Fairfax

Maryland

Rockville

Landover

Fort Washington

Where Is Your Pain?

2.

Neck

Shoulder

Arm, Wrist, or Hand

Back and/or Hips

Leg, Ankle, or Foot

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 which occurred in Virginia, please fill out the following forms:

If you were involved in an auto-accident which occurred in Maryland, please also fill out the following form:

If you were involved in a Worker’s Compensation Accident, please fill out the following form:

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.