All of our registration and assessment forms are available on iPhone, iPad and Android via the cliexa-SENSE app. After downloading the app, please call our clinic at 720.274.0341 to get your account number to get started.
If you can’t download the cliexa-SENSE app, all of our forms are available in web versions as well:
New Patient Registration Form
- New Patient Registration Form
This intake form includes all of the individual forms below in one convenient packet. Recommended for new patients.
- Consent to Treatment
- Patient’s Rights and Responsibilities
- HIPAA Notice of Privacy Practices
- Financial, Cancellation, and No-Show Appointment Policy
- Disclosure Statement
- Release of Information
- Narcotics Agreement
- Advanced Directives
- Emergency Procedures Policy
- NHS Policy Regarding Marijuana Use
- NHS Policy Regarding Receiving Text Messages