Appointment Request

Get Started

The form below (in PDF) allows us take the first step in serving your needs to the best of our ability. Once you call to schedule an appointment, you can fill out the form and bring it with you on your first visit, or do so in our office.

Patient Registration Form

Our process is uncomplicated and completely supportive of you. Unique to many who have been to chiropractors and other holistic health care providers, we dedicate as much time as is needed to help you understand what is happening and what we together can do to help you heal and reach your goals. We care about your health, not the numbers of people that come through our doors. If you're curious what happens when you come see us, here are a few steps to clarify and help you get started:

  • Call to Schedule an Appointment - Call our office at 571.643.0255, or fill out the form below, to request an appointment for Chiropractic and/or Yoga Therapy or to ask questions.
  • Patient Registration Form - At right, you can review our financial policy and patient registration form that you will fill out on your first visit to the Centre. If you choose, you can fill it out in advance and fax it to us at 571.643.0256, or bring it with you.     
  • Initial Evaluation and Consultation - Your first visit will include a thorough examination and discussion to uncover the possible causes of your health concerns, and to understand your individual needs.  The initial appointment will take between 1-2 hours depending on the care you are requesting.                                                                                                                                                                          
  • Interconnected Care and Therapy - Our health care providers, along with you, will establish a plan for your care.  Should you choose more than one of our services, our practitioners will coordinate with one another to optimize your healing and experience  with our Centre.  

Massage Appointments

To request an appointment for a massage with our certified massage therapist, Kathleen Kirkpatrick (Intentional Touch, LLC), please contact her at [email protected] or (703) 499-1565.  You may also complete the form below!

Request an Appointment

We look forward to hearing from you.

Contact Us

Send Us An Email Today!

Our Location

13655 Dulles Technology Dr | Ste 100 | Herndon VA, 20171

Office Hours

Find Out When We Are Open


10:00 am-6:00 pm


10:00 am-6:00 pm


10:00 am-6:00 pm


On-line Yoga Classes By Appointment


10:00 am-6:00 pm