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Patient Forms

Thank you for choosing Loudoun Sports Therapy Center for your physical therapy needs.

Our goal is to help you return to living life pain free through physical therapy.  If you have scheduled your initial physical therapy evaluation, thank you. If not, call our office now – 703-450-4300 – to schedule an appointment with one of our expert physical therapists and take the next step toward becoming pain free with physical therapy.

At LSTC it is important to us that you start out right. Your physical therapist will conduct your one-on-one evaluation in a private room to allow you to discuss your health concerns. During your evaluation he/she will determine your specific needs and set up a personalized plan of care just for you. It is important that you share your physical therapy goals so they can make sure that they incorporate them into your plan. You will also meet our Patient Representative whose primary responsibility is to ensure that you are satisfied with your care and have someone to go to with questions or concerns. Once your evaluation is complete you will stop at our front desk to schedule out all your visits so please bring your calendar and plan to spend about 10 additional minutes scheduling appointments so you can get times that work for you.

IMPORTANT PATIENT INFORMATION – PLEASE NOTE:  On the day of your evaluation we need you to arrive no less than 10-15 minutes before your appointment time so we can process all your paperwork and get you started with the physical therapist on time. We have set aside 1 hour for your evaluation. If you are late for your appointment or your paperwork is not filled out ahead of time, you will likely lose precious evaluation time. We will not be able to go beyond the originally scheduled hour as our therapists have time set aside for other patients after your hour is complete.

You will need to bring the following items to your evaluation appointment:

  • Your insurance information cards
  • A photo ID – driver’s license, up-to-date passport, or state issued ID
  • Your physician’s prescription for physical therapy (if you have one)
  • Your completed patient paperwork

If you are a new patient, please print and fill out the NEW PATIENT PAPERWORK below. If you have been a patient with us in the past 2 years, please print and fill out the RETURN PATIENT PAPERWORK.

New Patient Forms:

Returning Patient Forms: