Forms 2018-02-09T21:41:58+00:00

IMPORTANT FORMS & DOCUMENTS

Thank you for choosing Maximum Performance for your therapy needs!

REGISTRATION FORMS

Below are various registration forms available for download. Please download the form specific to your needs, fill it out completely and return it to Maximum Performance through the coordinating contact form or at your next visit. We would also suggest contacting your insurance company to check your available benefits and please note our visit payment requirement on the Financial Policy page. Call us if you have any questions. Thank you!

AUTO INS. PATIENT REGISTRATION FORM

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COMMERCIAL INS. PATIENT REGISTRATION FORM

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MEDICARE PATIENT REGISTRATION FORM

Download fillable PDF

WORK COMP REGISTRATION FORM

Download fillable PDF

FINANCIAL ASSISTANCE APPLICATION & INFORMATION

Listed below are various financial assistance documents available for download. Please feel free to download any documents specific to your needs. If you are filling out a Financial Assitance Application we ask that you fill out the form completely and return it to Maximum Performance at your next visit. Thank you!