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Location

7500 Wadsworth Blvd.

Arvada, CO 80003 US

303-420-5441

Condition Forms

Below you will find several forms that will help us to better understand your symptoms, function, and monitor improvements.  Scroll down and print those forms that pertain to your specific health condition.

SYMPTOM DESCRIPTION - Required

This form helps us to become more informed about the specific symptoms that you are experiencing.  Please be specific as to the quality of your symptoms (burning, aching, etc.), but if the exact symptom isn't represented at the top of the form, please feel free to ad lib and make your own symbol to indicate to us what you are feeling.  When filling our the pain scale(s), be aware that "0" represents no pain and "10" represents excruciating, unbearable  symptoms.  

Download & Print Form


BACK INDEX

This form is used to describe and quantify middle back and lower back symptoms, as well as how your symptoms affect your ability to perform daily activities. 

Download & Print Form


 NECK INDEX

This form is used to describe and quantify neck symptoms, as well as how your symptoms affect your ability to perform daily activities.  

Download & Print Form


 HEADACHE INDEX

This form is used to describe and quantify your headache symptoms, as well as how your symptoms affect your ability to perform daily activities. 

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 SHOULDER/ARM/HAND

This form is used to describe and quantify symptoms that affect your shoulder, arm, elbow, forearm, wrist and/or hand.  

Download & Print Form


 HIP/LEG/FOOT

This form is used to describe and quantify symptoms that affect your hip, thigh, knee, leg, ankle and/or foot.   

Download & Print Form


Welcome New Patients!

Request an appointment using this form or call us at 303-420-5441

Location

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Office Hours

Our Regular Schedule

Monday:

9:00 am-1:00 pm

4:00 pm-7:00 pm

Tuesday:

9:00 am-1:00 pm

4:00 pm-7:00 pm

Wednesday:

9:00 am-1:00 pm

4:00 pm-7:00 pm

Thursday:

9:00 am-1:00 pm

4:00 pm-7:00 pm

Friday:

Closed

Saturday:

By Appointment

Sunday:

Closed