Forms

Before your first appointment it is important to complete a medical history questionnaire. You will be asked to either come early and fill it out prior to your appointment or you may download the form, fill it out and bring it with you to your appointment.

Please also be sure to print, fill out, and sign the COVID Consent Form and bring it to your appointment. We will also have these forms in the office.

You may also fax your completed form to 703-549-2770.

If you are unable to print the forms or would prefer to fill them out digitally please download the latest version of Adobe Reader, which you can download for free here
This software will enable you to fill out the PDF, save it and email it to us at info@alexmyo.com .