Call us directly: 434-249-3756

4405 Ivy Commons, Charlottesville View Location

Admission Forms

Below are new patient intake forms. Please bring the completed paperwork below along with your insurance information and doctor’s referral on your first visit!
**Your doctor’s referral may be faxed to us at 540-456-6076.

Patient info sheet 2014-2

Encompass Therapy consent 2017

HIPAA pg 7 – easy to read