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4315 50th St NW, Office 203 /
Washington, DC 20016
(Spring Valley)
W: 202-660-1820, C: 202-744-5087, F: 703-847-0293
connect@kathybraunpt.com
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Home
About Us
Services
Patient Center
Direct Access
Fee Schedule
Good Faith Estimate
Cancellation Policy
Patient Forms
Financial Information
Medicare Information
Medicare ABN Form
Reviews
Payment Center
Credit Card Payment
Reimbursify
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1
About You
2
Your Pain/Injury
3
Finish!
Main Reason For Wanting A Physical Therapy Discovery Session
*
I'm new to Physical Therapy and not sure what to expect
I was let down by another healthcare provider in the past and would like see if we are a good fit for each other before I commit
I'm not yet sure if Physical Therapy can even help me
I'd like to get an understanding of what's causing my pain/injury and what you can do to help me before I commit to a full appointment
It's just easier to get started this way
Where Is Your Pain Or Stiffness?
*
Please Select One
Lower Back
Mid/Upper Back
Neck
Shoulder
Elbow
Wrist/Hand
HIp
Knee
Ankle/Foot
Multiple Body Parts/Areas
Muscle Injury Not Listed Above
Not Sure Where It's Coming From
Other - Not Listed Above
What Does It Stop Or Limit You From Doing?
*
What Concerns You Most About Your Pain/Injury That's Making You Consider Physical Therapy?
*
Please select one
Not knowing what's wrong and what's causing the pain
Having to take painkillers to ease the pain
Being limited in how much you can exercise / play your sport / stay active
The risk of facing surgery
Other - not listed above
How Long Have You Suffered Or Worried?
*
1-2 Weeks (or less)
2-4 Weeks
1-3 Months
4-12 Months
Over A Year
What Is The Main Goal That You Would Like To Achieve With Us?
*
Please select one
Find out what is wrong and why I'm still having pain
Create a solid plan for fixing the problem
Get to know the clinic and therapists and make sure it's a good fit for me
Other - not listed above
So that we can schedule your Free Discovery Session as soon as possible, please provide us with:
Your First Name
*
Phone Number
Best Email
Then keep an eye out for a phone call from (512) 693-8849 in the next 24 hours (M-F).
Comments
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Close Form
2032
Request A Free Discovery Visit
"
*
" indicates required fields
1
About You
2
Your Pain/Injury
3
Finish!
Main Reason For Wanting A Physical Therapy Discovery Session
*
I'm new to Physical Therapy and not sure what to expect
I was let down by another healthcare provider in the past and would like see if we are a good fit for each other before I commit
I'm not yet sure if Physical Therapy can even help me
I'd like to get an understanding of what's causing my pain/injury and what you can do to help me before I commit to a full appointment
It's just easier to get started this way
Where Is Your Pain Or Stiffness?
*
Please Select One
Lower Back
Mid/Upper Back
Neck
Shoulder
Elbow
Wrist/Hand
HIp
Knee
Ankle/Foot
Multiple Body Parts/Areas
Muscle Injury Not Listed Above
Not Sure Where It's Coming From
Other - Not Listed Above
What Does It Stop Or Limit You From Doing?
*
What Concerns You Most About Your Pain/Injury That's Making You Consider Physical Therapy?
*
Please select one
Not knowing what's wrong and what's causing the pain
Having to take painkillers to ease the pain
Being limited in how much you can exercise / play your sport / stay active
The risk of facing surgery
Other - not listed above
How Long Have You Suffered Or Worried?
*
1-2 Weeks (or less)
2-4 Weeks
1-3 Months
4-12 Months
Over A Year
What Is The Main Goal That You Would Like To Achieve With Us?
*
Please select one
Find out what is wrong and why I'm still having pain
Create a solid plan for fixing the problem
Get to know the clinic and therapists and make sure it's a good fit for me
Other - not listed above
So that we can schedule your Free Discovery Session as soon as possible, please provide us with:
Your First Name
*
Phone Number
Best Email
Then keep an eye out for a phone call from (512) 693-8849 in the next 24 hours (M-F).
Phone
This field is for validation purposes and should be left unchanged.
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