Intake Form

Please call 970-668-3299 to schedule an appointment prior to filling out the online paperwork.

Click on the link below to be directed to our Intake Form. We are an entirely paperless office. Please do not print the form out to bring to our office, instead once you have reviewed all your entered information click SUBMIT at the very end. It will say THANK YOU, if you see a summary you are not finished yet, scroll down.

When it asks for your street address, please use your MAILING ADDRESS.
CLICK HERE TO BEGIN