12581 Milstead Way #201, Woodbridge, VA 22192 (703) 763-3922 Prices Vary Physical Therapy in Woodbridge, VA - 4.7 stars - based on 70 reviews
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12581 Milstead Way #201, Woodbridge, VA 22192 (703) 763-3922
Mid-County Physical Therapy logo
  • Physical Therapy Solutions
    • Sports Injury Physical Therapy Program
      Athletic injury therapy

      Athletic Injury Program

      We are experts in treating adolescent sports injuries effectively, efficiently, and conservatively without medications, side effects, or invasive procedures.

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      Physical therapist working with patient on neck pain

      Neck & Back Program

      As experts in relieving Neck and Back pain we address the root causes rather than merely treat the symptoms. This results in a longer-lasting relief and is highly effective in preventing a recurrent problem.

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      Joint replacement

      Joint Replacement Program

      Our treatment protocols facilitate full recovery, promote proper healing, and protect appropriate structures from harmful stress.

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      Dry needling triggerpoint

      Trigger Point Dry Needling

      Manual Trigger Point Dry Needling is a hands-on Physical Therapy approach to treat myofascial pain and dysfunction.

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      Red light therapy

      BioQpulse and Redlight Therapy

      This amazing treatment is great for those who may be suffering from pain caused by back problems, digestion disorders, cramps and pelvic floor issues and much more!

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      laser-therapy

      830 Laser Program

      The revolutionary 830laser is stopping pain around the world.

      LEARN MORE

      VIEW ALL SOLUTIONS
    • Neck and Back Physical Therapy Programs
    • Post-Op Rehabilitation Program
    • Trigger Point Dry Needling
    • BioQpulse & Red Light Therapy Solutions
    • 830 Laser Therapy Program
  • Ailments We Treat
    • Foot and Ankle Pain
    • Elbow Pain Treatment
      Runner with foot and ankle pain

      Ankle & Foot Pain

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      Physical therapist working with patient on elbow pain

      Elbow Pain

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      Runner with lower back pain

      Lower Back Pain

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      Runner with thigh pain

      Hip & Thigh Pain

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      Office worker with neck pain

      Head & Neck Pain

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      Senior man with knee pain

      Knee Pain

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      Runner with shin splints

      Shin & Calf Pain

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      VIEW ALL AILMENTS
    • Head and Neck Pain
    • Hip and Thigh Pain
    • Knee Pain Treatment
    • Lower Back Pain Treatment
    • Shin and Calf Pain
  • About Our Physical Therapy Clinic
    • Why Physical Therapy?
    • Meet Our Physical Therapy Team
    • Contact Us
  • Resources
    • Physical Therapy Insurance & Pricing
    • Patient Forms & Paperwork
    • Patient Testimonials
    • Physical Therapy Blog
  • Locations
    • Allcare Physical Therapy
    • Lake Ridge
    • Bristow
    • Linton Hall
    • Buckhall
    • Manassas
    • Bull Run
    • Manassas Park
    • Cherry Hill
    • Marumsco
    • Dale City
    • Montclair
    • Dumfries
    • Nokesville
    • Gainesville
    • Occoquan
    • Haymarket
    • Quantico
  • (703) 763-3922
  • Make an Appointment
Search this website
  • Physical Therapy Solutions
    • Sports Injury Physical Therapy Program
    • Neck and Back Physical Therapy Programs
    • Post-Op Rehabilitation Program
    • Trigger Point Dry Needling
    • BioQpulse & Red Light Therapy Solutions
    • 830 Laser Therapy Program
  • Ailments We Treat
    • Foot and Ankle Pain
    • Elbow Pain Treatment
    • Head and Neck Pain
    • Hip and Thigh Pain
    • Knee Pain Treatment
    • Lower Back Pain Treatment
    • Shin and Calf Pain
  • About Our Physical Therapy Clinic
    • Why Physical Therapy?
    • Meet Our Physical Therapy Team
    • Contact Us
  • Resources
    • Physical Therapy Insurance & Pricing
    • Patient Forms & Paperwork
    • Patient Testimonials
    • Physical Therapy Blog
  • Locations
    • Allcare Physical Therapy
    • Lake Ridge
    • Bristow
    • Linton Hall
    • Buckhall
    • Manassas
    • Bull Run
    • Manassas Park
    • Cherry Hill
    • Marumsco
    • Dale City
    • Montclair
    • Dumfries
    • Nokesville
    • Gainesville
    • Occoquan
    • Haymarket
    • Quantico
  • (703) 763-3922
  • Make an Appointment

Home » Physical Therapy Resources » Patient Forms & Paperwork

Patient Forms & Paperwork

We make it easy for you to register for care by having you complete a minimum amount of paperwork. Please complete and bring the following forms with you on your first visit.

  • Express Registration Form
  • Pre-Exam Form
  • Pre-Exam Form – Post Op Patients
  • Medicare Secondary Payer Questionnaire – Medicare Patients Only
  • Assignment of Benefits Form
  • Consent for Treatment Form
  • Pain Diagram Form
  • Outpatient Medical History
  • Notice of Privacy Practices
  • Medical Information Release Authorization

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Quick Links

  • Physical Therapy Solutions
  • Physical Therapy Treatment
  • About Us
  • Insurance/Pricing
  • Patient Forms & Paperwork
  • Testimonials
  • Physical Therapy Blog
Menu
  • Physical Therapy Solutions
  • Physical Therapy Treatment
  • About Us
  • Insurance/Pricing
  • Patient Forms & Paperwork
  • Testimonials
  • Physical Therapy Blog
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Don’t put it off! The longer you wait the more serious your
problem may become. Schedule An Appointment Today!
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Mid-County Physical Therapy logo

OUR SERVICES

  • Sports Injury Physical Therapy Program
  • Neck and Back Physical Therapy Programs
  • Trigger Point Dry Needling
  • Post-Op Rehabilitation Program
  • BioQpulse & Red Light Therapy Solutions
  • 830 Laser Therapy Program
Menu
  • Sports Injury Physical Therapy Program
  • Neck and Back Physical Therapy Programs
  • Trigger Point Dry Needling
  • Post-Op Rehabilitation Program
  • BioQpulse & Red Light Therapy Solutions
  • 830 Laser Therapy Program

Ailments We Treat

  • Foot and Ankle Pain
  • Elbow Pain Treatment
  • Lower Back Pain Treatment
  • Knee Pain Treatment
  • Head and Neck Pain
  • Hip and Thigh Pain
  • Shin and Calf Pain
Menu
  • Foot and Ankle Pain
  • Elbow Pain Treatment
  • Lower Back Pain Treatment
  • Knee Pain Treatment
  • Head and Neck Pain
  • Hip and Thigh Pain
  • Shin and Calf Pain

About Us

  • Why Physical Therapy?
  • Meet Our Physical Therapy Team
  • Contact Us
  • Blog
  • Physical Therapy Insurance & Pricing
  • Patient Forms & Paperwork
  • Patient Testimonials
Menu
  • Why Physical Therapy?
  • Meet Our Physical Therapy Team
  • Contact Us
  • Blog
  • Physical Therapy Insurance & Pricing
  • Patient Forms & Paperwork
  • Patient Testimonials

OUR Location

12581 Milstead Way #201, Woodbridge, VA 22192

Phone

(703) 763-3922

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