Appointment Request

Get Started

The form below (in PDF) allows us take the first step in helping you restore your health. 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 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 be about 90 minutes and will include a thorough examination and discussion to uncover the possible causes of your health concerns, and to understand your individual needs.
• Interconnected Care and Therapy - Our health care providers, along with you, will establish a plan for your care and coordinate with the others in the practice to support you.

Massage Appointments

To request an appointment for a massage with our certified massage therapist, Kathleen Kirkpatrick (Intentional Touch, LLC), please call us at 571-643-0255, or fill out the form below!

Request an Appointment