top of page

Patient Forms
For Different Modalities
Not sure which forms you need?
Please feel free to call our office at 970.256.8449, and one of our experienced office staff will be happy to help direct you to the appropriate forms for your upcoming appointment. We encourage you to print and complete your forms before your visit and bring them with you. If you're unable to do so, please arrive 20 minutes early on the day of your appointment to complete them in the clinic.
Acupuncture Forms
New Patient Acupuncture Packet
AcuLift Consent
Acupuncture Consent
Acupuncture Symptom Survey
Colorado Mandatory Disclosure
PACE Acupuncture Consent
VA Acupuncture Consent
Behavioral Health Forms
New Patient Behavioral Health Packet
Behavioral Health Consent
Behavioral Health Medical History Form
Self Pay Acknowledgment Form
Bio-Well Forms
New Patient Bio-Well Packet
Bio-Well Consent
Bio-Well Symptom Survey
Bodyworks/Massage Forms
New Patient Bodyworks Packet
Bodywork Consent
Bodywork Symptom Survey
PACE Bodywork Consent
Chiropractic Care Forms
New Patient Chiropractic Care Packet
Chiropractic ABN Form
Chiropractic Care Consent
Chiropractic Health History Form
Endocrinology Forms
New Patient Endocrinology Packet
Endocrinology Consent
Endocrinology Medical Release
Endocrinology Symptom Survey
Homeopathy Forms
New Patient Homeopathy Packet
Homeopathy Consent
Homeopathy Symptom Survey
Light Therapy Forms
New Patient Light Therapy Packet
Light Therapy Consent
Light Therapy Symptom Survey
Nutrition Forms
New Patient Bredesen Protocol Packet
New Patient Nutrition Packet
Bredesen Protocol Consent
Joseph Ellerin Nutrition Consent
Nutrition Coaching Consent
Nutrition Health History Packet
Wellness Program Forms
Wellness Program Consent
Additional Forms
Cancellation Policy
Functional Medicine Consent
Healing Horizons Telehealth Consent
Mother Nature's Doctor Consent
bottom of page