New Patient Paperwork

Please fill out and return the appropriate paperwork

Please fill out, print, and bring the appropriate paperwork with you to your scheduled appointment. You can also email the filled out forms to [email protected]. If you have questions, please call or text 303-776-6767. Thank you!

New Patient Intake Paperwork

Re-exam Intake Paperwork

Motor Vehicle Accident Paperwork

Consent to treat Minor HIPPA Patient Authorization Form

Our Practice


600 S. Airport Rd. Bldg C Ste C
Longmont, CO 80503

Make an Appointment

Call our office at 303-776-6767 today!

Open Hours

Monday: 10 a.m. to 3 p.m. 
Tuesday: 8:30 a.m. to 6 p.m. 
Wednesday: 8:30 a.m. to 12 p.m. & 1 p.m. to 6 p.m. 
Thursday: 8:30 a.m. to 12 p.m. & 1 p.m.
to 6 p.m. 
Friday: 8:30 a.m. to 2 p.m.