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
