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Performance Wellness offers our patient forms online so they can be completed it in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

Required Forms for First Chiropractic Visit

Patient Intake
Performance Wellness Welcome
Performance Wellness Financial Responsibility
Performance Wellness Consent to Services


Optional Forms

Auto Accident
Personal Injury Consent
Personal Injury Financial


Massage Forms

Required Forms for First Massage Visit
Client Info  
Appointment Cancellation Policy 

Termination of Performance Club Membership
Performance Club Cancellation Form


United Health Care, American Chiropractic Network

ACN Group

Member Wellness Registration Form - Optional

This form can be filled out to register for access to the member wellness section of our website. You can also sign up for our monthly newsletter to keep up on current health issues and news and events in our office. You can print it out and bring it in to our office or Click Here to register online! The online newsletter sign-up is also on the right. We look forward to making your experience with our office and website more interactive and rewarding!

Download & Print Form



Download the Free AdobeReader®

Sign up using the form or call 512-491-7772 to make your appointment.

 

Office Hours

DayCHIROPRACTICMASSAGE
Monday7:30am - 4:00pm8:30am - 6:30pm
Tuesday7:30am - 6:45pm8:30am - 6:30pm
Wednesday7:30am - 4:00pm8:30am - 6:30pm
Thursday7:30am - 6:45pm8:30am - 6:30pm
Friday7:30am - 4:00pm8:30am - 6:30pm
Saturday9:00am - 1:00pm9:45am - 2:45pm
SundayClosedClosed
Day CHIROPRACTIC MASSAGE
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
7:30am - 4:00pm 7:30am - 6:45pm 7:30am - 4:00pm 7:30am - 6:45pm 7:30am - 4:00pm 9:00am - 1:00pm Closed
8:30am - 6:30pm 8:30am - 6:30pm 8:30am - 6:30pm 8:30am - 6:30pm 8:30am - 6:30pm 9:45am - 2:45pm Closed