Forms That You Can Print And Fill Out Before Your Visit:

Please complete your form prior to your appointment time, if you require any assistance please call or ask for help when you arrive.

New Patient Intake Form	This two page form includes your demographics, health history, insurance information, and our practice policies as it relates to release of medical information, assignment of insurance payments, promise of payment, consent to receive treatment, HIPPA policies, and our attendance policy . Please sign and date the bottom of the page.  If you are under 18 years of age, please have a parent/guardian sign as well.
Patient Satisfaction Survey	This form is your chance to provide us valuable input about your experience with us here at Peak Performance.  You may fill out the form at anytime during your course of therapy or until after you have been discharged.
Notice of Patient Privacy  (For Your Information Only)	This form is for your records only and is a description of our patient privacy policies compliant with HIPAA

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