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Getting Started

Name
MM slash DD slash YYYY
Preferred Method of Communication
Which therapy discipline(s) are you interested in? An order is required for each service unless you will be a Wellness/Self Pay client.
Doctor's Name
What will you use as a payment source?

Please list their information below including: -Name -Phone number -Email address -Relationship to you
Consent Form
We require a consent form to be signed prior to your therapy evaluation. Would you prefer to sign electronically (via DocHub) or to have a PDF emailed to you to print and sign?
Max. file size: 128 MB.
Therapy Orders, Insurance Cards, and Medication List Please upload a photo or copy of: -Therapy order(s) (If you do not have therapy orders at this time, please request them from your doctor and have them faxed to 571-464-6587) -Front and Back of insurance card(s) -Medication list If filling out this form on your phone, use the camera to take a photo of the document and then attach here. If using a computer, scan prior to filling out this intake form. (Please note, a therapy order is NOT required for Self Pay/Wellness clients) If having difficulties uploading you can email the files to Admin@baltherapy.com

Physical Therapy

If pain, injury, or limited mobility is holding you back, expert physical therapy..

Occupational Therapy

Has an injury, illness, or disability made everyday tasks feel overwhelming? Are challenges..

Speech Therapy

Strong communication builds connection, empowering you to share your thoughts and be understood with ease.

Balance Therapy

Falls and mobility challenges can significantly impact
your quality of life.

LSVT BIG & LOUD Therapy

At Bal Therapy LLC, we specialize in helping people
with Parkinson’s

More Services

We provide expert care for a wide range of additional conditions, offering personalized treatments.

Balance & Gait Disorders

 Do you freeze mid-step, afraid to take another stride for fear of losing your balance?

Dementia

At Bal Therapy LLC, we understand that dementia affects more than just memory—

Pre-Post Surgery

Surgery is only part of the journey—how you prepare and recover determines your long-term outcome.

Parkinsons

Parkinson’s disease can make everyday movements feel difficult, unpredictable, and exhausting.

Stroke

Recovering from a stroke comes with physical, cognitive, and emotional challenges..

More Conditions

We provide expert care for a wide range of additional conditions, offering personalized treatments.

Resources

Physical therapy stands as a cornerstone in the management and recovery from pain and injuries.

Education

At Bal Therapy, an OT’s role in the therapy process is to help an individual increase engagement in meaningful.

FAQ

Physical therapy stands as a cornerstone in the management and recovery from pain and injuries.