Call Us:  804-794-9023

FAX:  804-794-9373

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

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

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. 

Powhatan Physical Therapy 

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