Patient Forms

New Physical Therapy Patients

To make your first appointment easier, you may print and fill out the forms at home and bring them with you to your initial evaluation.

New Dry Needling Patients

If you have Medicare as a primary or secondary insurance, please print and fill out the Medicare questionnaire in addition to the new patient forms.

Request to Release Medical Records

InMotion Physical Therapy will gladly release your medical records, but we'll need your written authorization first. Print and complete this form and fax to (804) 756-8494 or mail to 3001 Hungary Spring Rd #D, Richmond VA, 23228.

If you have any questions, please call (804) 756-8490 for assistance.