Chiropractic - New Patient FormNew Patient Registration Form (View PDF)

You may complete the PDF file linked above, save it for your own records and print it. You may choose to fax it to our secure fax at (240) 559-0102 or bring it with you to your first appointment.

This form is intended for those with pain and other health issues who are interested in receiving chiropractic care or physical therapy treatments to correct the problem. It is sometimes necessary to receive several treatments at a frequency of once or twice a week. Some health insurances may partially cover these treatments. If you are not sure if you can go through such a treatment regimen at this time please wait until you can before making a new patient appointment.

To schedule an appointment, visit here.