Contact us!
Email: Admin@perfect10pt.org
ATTN: ALL appointments are booked through this website or via our Wix App under:
"Book Online"

PT Injury Quick Screen Appointment
15 min Injury Screen with Dr. Ezara Greene
Service Description
Looking for some direction or advice on a problem area? Sign up for a PT Injury Quick screen and let us help direct you to the right health care provider/facility. This is a screening process for an acute or chronic injury triage. Dr. Greene will take a subjective and then triage to the appropriate service for you or your athletes need. This service is offered virtually as well! Please specify in the "comments" if you would like this Screen to be virtual. The Injury Quick Screen Consent Form must be filled out and sent back 24 hours prior to the scheduled appointment or we will cancel the appointment. You can find the paperwork on our website listed under "More" and we will email you a copy as well to the email address listed with booking. We also require a credit card to be placed on file or the patient cannot be seen per our policy. ***Please note: there is a premium rate applied for Holiday, emergency and weekend (Saturday/Sunday) appointments! This appointment type is not reimbursable by insurance and will therefore not be itemized into a Superbill. Please email admin@perfect10pt.org for specific pricing questions for this service or for your specific gym affiliation. ATTN: We are a cash-based, fee-for-service medical practice and do not accept insurance of any kind. This service is not covered my government issued insurance (ie. Medicaid, Medicare Part A and B and Tricare) and therefore is not reimbursable and will not be itemized into a Super Bill.
Cancellation Policy
To cancel or reschedule, please email, text, or call the office at least 24 hours PRIOR to your appointment. Cancellations less than 24 hours before the appointment incur a fee equal to the full scheduled service charge, regardless of reason. If you reschedule the canceled appointment within the same week, the cancellation fee will be waived. No-shows incur the full scheduled service charge. Appointments cannot proceed without required payment. BOOKING: Services linked to this policy must be booked online at least 72 hours in advance. Evaluations and Gymnastics Performance Assessments require time for paperwork and administrative preparation. The 72-hour booking rule is separate from the 24-hour cancellation deadline. Requests within 72 hours require office approval and are subject to availability. DEPOSIT: A $54 NONREFUNDABLE reservation fee is required to secure paid Evaluation and Gymnastics Performance Assessment appointments. The $54 is NOT the evaluation/assessment price and is NOT credited toward the service charge. Full payment for the service is due separately at the time of service and will be billed to the card on file. Rates vary by service and gym affiliation. Email admin@perfect10pt.org for your specific rate BEFORE booking. This deposit does not apply to services designated as free consultations/screens. PAPERWORK: Required New Patient/Client Paperwork must be completed and returned at least 48 hours before the scheduled evaluation or assessment, or the appointment will be canceled. Forms are available on our website under “More” and will be emailed after booking. A valid credit card must be on file before services can be provided. ATTN: Perfect 10.0 PT is a cash-based, fee-for-service practice and does not accept insurance. Reimbursement is not guaranteed. Ethan Valencia's Gymnastics Performance Assessment is nonmedical, not PT, and is not eligible for a PT superbill. LATE/SAME-DAY REQUESTS: Appointments requested less than 24 hours in advance, including same-day requests, require office approval. If accommodated, ONE 50% surcharge (1.5 times the regular service rate) applies; surcharges are not stacked. This surcharge does not apply to patients contacted from the waitlist after a same-day cancellation. Holiday and weekend (Saturday/Sunday) appointments may carry a premium rate. This policy applies to the connected services; deposit, paperwork, and service charges apply only where relevant.
Contact Details
Cardinal Gymnastics, Guinea Road, Fairfax, VA, USA
+15712529131
egreene@perfect10pt.org
Dynamic Gymnastics, Carlin Springs Road, Bailey's Crossroads, VA, USA
+15712529131
egreene@perfect10pt.org
