Intake Forms
**IF YOU ARE UNABLE TO FILL OUT YOUR PAPERWORK ONLINE BEFORE YOUR APPOINTMENT PLEASE ARRIVE 15 MINUTES EARLY TO FILL IT OUT**
**PLEASE FILL OUT YOUR INTAKE ON A DESKTOP COMPUTER**
Patient Intake Form
Welcome to our online Patient Intake Form.
The information you fill in will be sent directly to our office, speed up your office visit, and will help us to better serve your healthcare needs.
5280 Cryo & Recovery Clinic
Kansas
2597 S Broadway Ste A
Pittsburg, KS 66762
performancespineandsport@gmail.com