Functional Performance Center
2065 S. Cottonwood Dr, Suite 1
Tempe, Arizona 85282
Tel: (480) 968-2020







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Financial Agreement
   

Financial Agreement (93 KB)
   
Orthotics Fee Policy

Orthotics Fee Policy (98 KB)
   
Patient Information Form

Patient Information Form (102 KB)
   
Authorization for Release of Information

Authorization for Release of Information (43 KB)
   
Medical History Questionnaire

Medical History Questionnaire (98 KB)
   
Privacy Policy Notification

Privacy Policy Notification (100 KB)
   
Privacy Policy Acknowledgement
pdf
Privacy Policy Acknowledge (95 KB)
   

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