Orthopedic Physical Therapy - Registration and Intake FormsThe Patient Registration Form is required for all new patients on their first visit to Orthopedic Physical Therapy, Inc.

You may also find specific forms and questionnaires below that apply to your diagnosis or problem. Please print and fill out the appropriate forms prior to your initial office visit.

Please call Orthopedic Physical Therapy, Inc. at (804) 285-0148 with any questions about the new patient registration form or our questionnaires.

Online Patient Resources

American Academy of Craniofacial Pain
American Fibromyalgia Syndrome Association
American Physical Therapy Association
Arthritis Foundation
Fibromyalgia Network
Institute for the Study and Treatment of Pain
International Myopain Society
International Pelvic Pain Society
Secret Suffering – a resource for chronic pelvic pain
National Vulvodynia Association
National Association for Continence
National Center for Pelvic Pain Research
TMD/TMJ (Temporomandibular Disorders)
Virginia Physical Therapy Association


Article Archives:
Time to Treat Men Right – An article about Pelvic Dysfunction by ADVANCE for Physical Therapy and Rehab Medicine

Read the Washington Post’s new article, Myofascial Pain Syndrome often leaves doctors baffled and patients untreated


Radio Interview Excerpts:

Click Here to Listen to Dr. Adler’s latest interview on Empire Radio Now (March 15, 2017)


Listen to Dr. Tracey Adler on the The Professionals Round Table with Michael David on Empire Radio Now


Dr. Adler is interviewed by Gloria Taylor Edwards and Shirley T. Burke on the “Speaking from the Heart” Radio Show – WCLM Radio 1450AM. The topic of their discussion was “The Magic of Dry-Needling“. Click on the links below to listen.
Radio Show, Part 1Radio Show, Part 2