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1800 30th Street, Suite 215
Boulder, CO 80301
303-546-9201

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Physical Therapy Boulder CO
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Patient Forms

Please take the time to print out and complete all the forms in advance. Your responses are essential, not only for streamlining the medical intake process and managing your case, but most importantly to help guide our practitioners to the root of your problem. In addition, we want to ensure your session is spent receiving our healthcare services and not filling out our paperwork. It is recommended you arrive 10 minutes before your first appointment so our staff can review your insurance benefits with you. Please bring your insurance card if applicable. Thank you in advance for completing the forms prior to your appointment. Also please complete the appropriate form(s) depending on the area(s) of your condition.
  • Back Index - for low back, mid back, and pelvic problems
  • Neck Index - for neck, head, and upper back problems
  • DASH - for shoulder, elbow, wrist, and hand problems
  • LEFS - for hip, knee, ankle, and foot problems
Please download the following if you want to request that your medical records be sent to another healthcare provider:

Please download the following for your records: