New Patient Forms

Thank you for choosing Pain Arthritis Relief Center for your wellness and health journey. Before your first visit, please print and complete the applicable new patient form below. Bringing the completed form to your appointment allows our team to start your wellness program sooner.

New Patient Forms (Physical Therapy and Chiropractic)

New Patient

Please print and complete this form if you are being treated by our Physical Therapists and Chiropractors.

New Patient Forms (Medical and Orthopedic)

New Patient (Please fill this form out if you are seeing Orthopedic Specialist for anything other than knee pain)

Intake Form (Please fill out if experiencing Knee Pain Only)

Please print and complete these forms if you’re being treated by our Orthopedic Specialist.

Disclaimer: There are no medical guarantees made or implied. These statements have not been evaluated by the FDA unless otherwise specified. Results will vary from person to person. Testimonials and X-ray pictures are not indicative of results and should not be interpreted as such.

Also serving Gaithersburg, MD, Olney, MD Wheaton, MD, and Bethesda, MD

New Patient Forms

OUR LOCATIONS

ROCKVILLE HOURS

Pain Arthritis Relief Center