Chantilly Chiropractic Center



What to Expect On Your First Visit...

New Patient Forms
After you make your appointment, our online intake registration forms are at the bottom of this page. It is important that you complete them fully prior to your appointment. Upon entering our office, we will confirm your registration is complete.
The intake registration provides the doctor with important information about yourself and your condition. Bring your identification card and a health insurance card if you would like insurance claims submitted. (Please click on the links below to complete the New Patient Registration and HIPAA Form prior to your first visit.)

Consultation & Case History
Once you have completed the registration process, you will have a consultation with the doctor. During this time you will  discuss your case history and any health-related problems. The doctor will ask you various questions to get a clear understanding of your condition.

Examination
In order to determine what your actual problem is, the doctor will perform chiropractic, orthopedic, and neurological tests. The focused physical examination will be performed to determine the cause of discomfort, and the extent of injury.

X-Ray Studies
X-Rays will be taken if the doctor feels it is necessary for your diagnosis.  If performed, they are taken to properly determine your condition and to rule out any other serious health problems or contraindications to treatment.

Report of Findings
The doctor will discuss your case findings and a plan of treatment. You are encouraged to ask any questions regarding your condition and prognosis to get a clear understanding of how you can benefit from chiropractic care.


Treatment

After the Report of Findings, your treatment may include spinal manipulation, therapeutic modalities, or decompression therapy. Each patient's condition is unique to him or her and all treatments are tailored to your individual needs and how you respond.

Home Instructions
Depending on your condition, you may be given instructions on certain activities or procedures to be conducted at home. This may include ice or heat application instructions, and avoidance of certain activities or positions.

Payment for Services
After services have been provided, you are responsible for payment. We accept cash, personal check, VISA, and MasterCard. If you have health insurance you will be responsible for any deductible or copayment amounts due. Our insurance department will bill your primary health insurer if you desire.

Schedule Your Next Appointment

Our front desk staff will assist you with finding a convenient appointment time for your follow-up visit. You will be encouraged to maintain your care recommendations to experience the best and most immediate health benefit.

Registration must be completed on a computer and submitted.
(iPads and cellular phones are not compatible for submission.)

 ONLINE New Patient Registration* 

*Each section must be completed in its entirety. Please be detailed, listing all complaints.
To sign your name electronically at the bottom of the form, use your mouse, when completed choose "submit form".

To expedite registration, please print and sign the HIPPA Form below and bring to your first visit.

 HIPAA Form

Insurance Provider List
Note that these are the primary insurance providers we service, we participate with others as well. We accept most all PPO plans. Please contact our office to ensure that we  participate with your insurance provider.

   • Aetna POS/PPO
   • Medicare
   • Blue Cross Blue Shield
   • Carefirst
   • United Healthcare
   • Kaiser
   • Meritain Health
   • Mailhandlers
   • Innovation Health
   • UMR
   • Coventry
   • Golden Rule

   • PHCS

The Veterans Administration (VA) covers chiropractic benefits at 100% for service related injuries with a referral from your VA Physician. 

We look forward to working with you to achieve better health!


Improve Your Health 
without 

Medication or Surgery








Call Us At 703.378.2698
Choose Option #1,
for Front Desk Staff Assistance