New Patient Information

Orange County Chiropractors

We want to make sure that when you come into Performance Chiropractic you’ll spend your time with our physicians and less time in the waiting office filling out paperwork. We’ve attached several new patient forms to make it easier on you when you first come and visit us.

Please take the time to read over all of our forms and policies, we want you to make sure you are satisfied with our commitment to you and provide you time to fill out the needed personal information.

Please feel free to email or call us with any questions or concerns you may have. We look forward to seeing you and helping you attain the health and fitness you deserve.

  • Patient Information

  • Patient Symptoms

  • Informed Consent

  • X-Ray Consulting Form

  • Billing Procedures

  • Authorization & Assignment Form

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