Forms

Forms

Please fill out all three pages of the New Patient Forms and bring with you to your first appointment. Depending on your insurance and service you are seeking, additional forms may be required upon your arrival. Please also bring your physician's referral/script (if applicable) and your insurance card(s),

If able, you may save the completed files to your computer and email them to info@proformancetherapy.com.

*If your appointment involves custom orthotics or a worker's comp/personal injury claim, we ask that you please fill out the respected paperwork in addition to your new patient form.