New Patient Paperwork

Choice Chiropractic & Wellness Center offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment.
  • Intake Form

    Click to Download

  • Authorization Form - Part 2

    Click to Download

  • Consent Form - Part 3

    Click to Download

  • Auto Accident Form

    Click to Download

  • Neck Index Form

    Click to Download

  • Back Index Form

    Click to Download

Monday
9:00am - 1:00pm
2:30pm - 5:30pm


Tuesday
9:00am - 1:00pm


Wednesday
9:00am - 1:00pm
2:30pm - 6:00pm


Thursday
10:00am - 1:00pm


Friday
9:00am - 1:00pm


Saturday & Sunday
Closed

*HOURS SUBJECT TO CHANGE*

Choice Chiropractic & Wellness Center

3405 Penrose Place #205
Boulder, CO 80301

(303) 442-2126