Online Forms

Althoff Wellness Clinic offers our patient form(s) online so they can be completed in the convenience of your own home or office! 

If you do not have an appointment, please call (970) 686-6833 to get scheduled!

  • Please select ONE set of forms that corresponds with your PRIMARY concern. You will be given the opportunity to list more concerns/symptoms within the form. You will only be filling out ONE form. 
  • If you have trouble filling out the form(s) online, please download the necessary form(s), print it out and fill in the required information.
  • If you do not already have AdobeReader® installed on your computer, click here to download.

NEUROPATHY PATIENTS ONLY: Neuropathy New Patient Intake Form


ALL OTHER SYMPTOMS: New Patient Intake Form


KNEE PATIENTS ONLY: Knee New Patient Intake Form



Download the Free Adobe Reader®

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CONTACT US TODAY

We look forward to hearing from you

Our Location

Office Hours

Monday:

9:00 am-1:00 pm

3:00 pm-6:00 pm

Tuesday:

9:00 am-1:00 pm

3:00 pm-6:00 pm

Wednesday:

9:00 am-1:00 pm

3:00 pm-6:00 pm

Thursday:

9:00 am-1:00 pm

3:00 pm-6:00 pm

Friday:

By Appointment only

Saturday:

Closed

Sunday:

Closed