Integrative Medicine  
of Cherry Creek

360 South Monroe Street
Suite #150
Denver, CO 80209

David Amli, DC, Acupuncture - (303) 993-8444

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General Patient Forms - open - print - fill out & bring with you at your appointment time

1. New Patient Packet (includes forms 2, 3, 4 & 5)

2.   How many Visits

3. Intake Form / Introduction to the Practice / Medical History

4. Office Financial Policy

5. Notice of Privacy Practice

6. Flare-up Report

7. New Injury Report

8.  Auto Accident Documentation

9.  Daily Log of Symptoms

10. Post Treatment Recommendations

11.  Authorization to Treat a Minor

12.  Medicare release

13.  Attorney Lien


Exercise and Treatment Forms

14.  Entry level Exercises

15.  Stretch Cords

16.  Neck Exercise

17.  Low Back Exercises

18.  Foam Roller Exercises

19.  Using Ice & Heat


Programs

20. Stop Smoking Program

21. Relaxation Techniques

22. Past Newsletter

Last Updated on Sunday, 27 February 2011 20:34