Welcome

As a new patient we want to welcome you to Performance Physical Therapy. As a provider of physical therapy services for Northern Virginia we have highly qualified staff to meet all of your needs.

On your first visit please come prepared with the following items:

  • Insurance Card

  • Government Issue Photo ID

  • Doctors Prescription (If applicable)

  • Completed New Patient Paperwork

 

You can find the forms for your  first visit below (some additional forms may be necessary depending on your insurance). Please call us with any questions. We look forward to seeing you.

Patient

History

Fill out the Patient History Form with as much information as you can and bring it with you on your first visit to make the most of your time with our therapists. 

Privacy

Policy

 This document describes how we may use information about you within Performance Physical Therapy and how we may disclose it to others outside PPT.  Please download and review this form. 

Patient

Registration

This form gives us important contact and insurance information. This form should be filled out as complete as possible before your visit.

Appointment

Reminder

​Fill out this form with your accurate contact information to allow us to send or contact you about your upcoming appointments. 

Lorton, Va                                   Chantilly, Va                              Woodbridge, Va

©2019 by Performance Physical Therapy LLC.