Intake Forms
Intake Forms
Your healing journey has led you here. Let's continue together. At The Healing Collective, we utilize Functional Medicine to address the underlying causes of disease, looking at each patient as a unique individual and exploring healing from the inside-out.
The Healing Collective has gone paperless in an effort to reduce our footprint.
It is best to set up your Charm account and fill out your intake forms there. While we still have paper intake forms at the office, if you are able to do so, you may click on the appropriate forms for your appointment below to download them, and email us your completed forms.
PHYSICAL THERAPY FORMS
> PT: HIPAA Notice of Privacy Practices and Patient Acknowledgement
> PT: Initial Appt Intake Form
> PT: Practice Policies, Information and Consent Form
> PT: PREPARING FOR YOUR FSM APPOINTMENTS
> Consent for Release of Protected Health Information
Are You Ready to...
Rediscover Feeling Great?
Contact us to set an initial appointment and assessment.
Operating Hours
Mon - Fri 9:00 AM - 12:00 PM
1:00 PM - 4:30 PM
Sat - Sun Closed
The Healing Collective
720-572-5236
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