Online Forms

Althoff Wellness Clinic offers our new patient application(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 application 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 application(s) online, please download the necessary application(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
Knee Patients Only
All Other Symptoms
SoftWave Existing Patient Application
SoftWave NEW Patient Application