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New Patient Paperwork

Total Rehab offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them...
  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.


“Thanks to Active Release, I won the Pan American Games and qualified for the Olympic Games.”

- Anita Allen

“The treatments worked quickly and gave me my life back. I'm thrilled and a true ART advocate.”

- M. Wallace

Fredericksburg Location

Reston Location