Patient Forms


Please complete the New Patient Packet and the Patient Functional Assessment that is related to your injury.


New Patient Registration Forms
New Patient Packet

Patient Functional Assessment / Injury Forms

Neck/Head/Jaw:
Temporomandibular Joint Assessment (TMJ)
Cervical/Thoracic Spine Assessment (Neck/Mid-back)

Upper Extremity:
Upper Extremity Assessment (Shoulder/Elbow)
Hand Assessment

Lower Back/Lower Extremity:
Lumbar Spine Assessment (Lower Back)
Lower Extremity Assessment (Hip/Knee/Ankle/Foot)

Dizziness & Balance:
Vestibular & Balance Questionnaire
  		 
"I had heard great things about the excellent physical therapy at VTFC so I decided to try VTFC myself. My experience was amazing. They really do 'back magic'.  I went from 9/10 pain to 2/10 pain in a week.  Now I have no pain and I am back to normal.  The VTFC therapists are awesome!"
Srinivasan B. - Reston, Virginia
 
  1831 Wiehle Avenue
Second Floor
Reston, VA 20190 		Phone: 703-709-1116
Fax: 703-709-5134
 Clinic Hours:
Mon - Thur: 7am - 7pm
Friday: 7am - 4pm