If you have Aetna or United Healthcare please click on the patient summary form. 

Powhatan Physical Therapy 

If you have Medicare please choose the questionnaire form that matches your issue:

Please register using the patient portal.  If you are unable to register through the portal,  you will need to arrive 20 minutes before your appointment. 

Call Us:  804-794-9023

For Aetna/United Healthcare patients please fill out the form below that corresponds to the issue we are treating you for.