Patient Forms

Thank you for choosing Performance Rehabilitation as your physical therapy provider!

Please complete the History Questionnaire and the Consent for Treatment forms below prior to your appointment. Completing this paperwork prior to your appointment time will save you valuable time that can be better spent with the Physical Therapist.

Please remember to bring these forms along with your photo ID and your insurance ID card.

We look forward to providing you with the highest quality care and helping you get on the road to feeling your best!

History Questionnaire

Consent for Treatment

HIPPA Privacy

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