Therapy Office Hours

Monday - Friday: 10:00am - 8:00pm

Saturday: 8:00am - 4:00pm

Sunday: 10:00am - 5:00pm  

Administrative Office Hours

Monday - Thursday: 10:00am - 12:00pm & 5:00pm - 7:00pm

Friday: 9:00am - 1:00pm

Location

5627 Allentown Road, #107

Suitland, Maryland 20746

(240) 419- 6909

 

New Client Form

All new clients must complete this form before scheduling an appointment.

Name *
Name
Phone *
Phone
Service *
Date of birth *
Date of birth
If using insurance, what is the phone number for providers? (Located on the back of your insurance card). *
If using insurance, what is the phone number for providers? (Located on the back of your insurance card).
If self pay or Medicaid , please enter all zeros
For self pay please enter "yes"
Date of birth for the policy holder. *
Date of birth for the policy holder.
If you are the policy holder or are using self pay please enter all zeros
Phone number of policy holder. *
Phone number of policy holder.
If you are the policy holder or are using self pay please enter all zeros.
Address of the policy holder. *
Address of the policy holder.
If you are the policy holder or are using self pay please enter all zeros.