New Patients

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New Patients

Please complete the forms below and bring them with your insurance card, a picture ID and any orders from your doctor to your first appointment.

Additional Authorization Forms:

Summary Form

Summary Form ACN Fill In.pdf
Adobe Acrobat document [252 KB]

Neck Form

Neck Index ACN Fill In.pdf
Adobe Acrobat document [210.2 KB]

Back Form

Back Index ACN Fill In.pdf
Adobe Acrobat document [200.0 KB]

Arm, Shoulder, or Hand Form

Only complete the first two pages
DASH ACN Fill In.pdf
Adobe Acrobat document [170.3 KB]

Hip, Knee or Ankle Form

LEFS ACN Fill In.pdf
Adobe Acrobat document [174.5 KB]

Start Back Form

Start-Back.pdf
Adobe Acrobat document [174.5 KB]

Want to Learn More About the Peak Performance Approach?

Visit our Therapy section or call us at (303) 870-8242 for Castle Rock or (303) 880-8095 for Aurora.

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