Intake Form
Intake Form

We look forward to welcoming you to our state-of-the-art facility and providing you the best physical therapy in Rockville, MD. To schedule an appointment, please call us at (240) 361-9000 ext 1.

Once you have made your initial appointment, you may pre-register online by completing the interactive forms below, or you may download and print the forms, fill them out and bring them with you to your first visit. Completing the forms prior to your visit will help speed up the registration process.


Forms:

New Patient Balance Forms

New Patient TMJ/TMD Forms

Sign up for newsletter
Please wait...
Thank you for signing up.
You have been added to our newsletter list.
Yes, I would like to receive newsletters from FYZICAL Shady Grove on Omega Drive.

Leader in the health and wellness space, providing private practices with business systems, operational support, clinical education, and proprietary technology and protocols. FYZICAL® is actively changing the healthcare landscape by providing patients with wellness programs and clinical care in: Fall Prevention, Orthopedic and Vestibular Rehabilitation

Corporate Home