The Gait Center

 

Stepping Back to Life . . . Richmond & Hampton Roads

Appointments & Forms
The Gait Center serves the entire Richmond metropolitan area, the state of Virginia and beyond.  For your convenience, we request that you make an appointment by calling 804-523-2653. Our office is open Monday through Friday from 8:00 a.m. to 4:30 p.m. If you are unable to keep an appointment, please cancel as far in advance as possible so we might accommodate other patients. (Please click on the link below to read our Attendance Agreement.)

If you are a new patient and would like to complete your registration and patient history forms prior to your appointment, please click on the links below to print forms.

 
PATIENT REGISTRATION FORM
PATIENT HISTORY FORM
ATTENDANCE & COPAY AGREEMENT
HIPAA WRITTEN ACKNOWLEDGEMENT FORM



What to bring to your initial visit:
1. Doctor's prescription
2. Primary Insurance Card
3. Secondary Insurance Card (if applicable)
4. Referral if required from Primary Care Physician
5. Optional - Patient Registration/History forms...only if completed in advance


Physicians: For a supply of preprinted Gait Center prescription sheets, please call us at 804.523.2653.
 


_______________
                 RICHMOND                                HAMPTON ROADS
              The Gait Center                      Gait Center Hampton Roads
     2034 Dabney Road, Suite B            700 Newtown Road, Suite 7B
       Richmond, Virginia 23230                   Norfolk, Virginia 23502
               p:804.523.2653                               p:757.201.6221  
                f:804.767.4415                                f:757.201.6225 



                                                  
 
 
 

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