Download Forms

By clicking on the buttons below, you can download Adobe PDF verions of the Patient Intake Forms that you will be asked to fill out as a new patient to the Human Performance Center. Find your Insurance Category (dark blue bar) and click on the "Download Form" button. We hope this will be more convenient and private for you. Please bring them with you to your first appointment. Thanks!
Regular Private Insurance
	Includes: Basic Patient Registration Form; Brief Patient History; Privacy and Security Notice; PPO Financial (5 pages total)
Worker's Comp
	Includes: Basic Patient Registration Form; Brief Patient History; Privacy and Security Notice; Workers Comp Agreement (5 pages total)
Medicare
	Includes: Basic Patient Registration Form; Brief Patient History; Privacy and Security Notice; Medicare Financial; Medicare Cap (6 pages total)
HMO
	Includes: Basic Patient Registration Form; Brief Patient History; Privacy and Security Notice; HMO Financial (5 pages total)
FitStart
	Please download this 11-page form and take your time filling it out before bringing it with you to your first visit. (11 pages total) To get started, call us at 687-8553 and ask about FitStart.

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	Why Choose the HPC
	Our Facility
	Employment


	Musculoskeletal
	Balance/Vestibular
	Neurological Rehab
	Cardiopulmonary
	Preventive
	Fitness


	Sports Injury Rehabilitation
	Back and Neck Pain
	Foot and Ankle Biomechanics
	Osteoporosis Prevention and Treatment
	Worksite Evaluation


	Safe & Steady: Balance Program
	Vestibular Therapy


	Cardiac Therapy
	Pulmonary Rehabilitation


	FitStart
	Medically Supervised Fitness Training


	Lifestyle Topics
	Enhancement Team


	Getting Started
	Insurance
	Directions/Map
	Satisfaction Survey


	General
	Bob Huhn, Director