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Online Forms

Performance Spine & Rehabilitation Center offers our patient form(s) online so they can be completed 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.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Health History Form

HIPPA

Back Pain Questionnaire

Neck Pain Questionnaire



Download the Free Adobe Reader®

Location

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Office Hours

Our Regular Schedule

Sparks Office

Monday:

10:00 am-6:00 pm

Tuesday:

2:00 pm-7:00 pm

Wednesday:

10:00 am-6:00 pm

Thursday:

2:00 pm-7:00 pm

Friday:

10:00 am-5:00 pm

Saturday:

Closed

Sunday:

Closed

Testimonial

  • "Dr. Lepito and his staff at Performance Spine & Rehabilitation Center are wonderful. The office has a very comfortable, efficient and informative atmosphere. I've never had a problem with appointments or understanding how my insurance works.
    Dr. Lepito explains everything about your treatments in detail so you know what to expect.
    I have been a patient for over two years and just recently was in a car accident. Dr. Lepito was able to see me the day of my accident and with continued treatment, I'm healing quickly!
    I highly recommend Performance Spine & Rehab Center to anyone looking for a Chiropractor."
    Sandy