Center Green
Boulder Medical Center
HIPAA
Patient Intake Forms
Accepted Insurances
Frequently Asked Questions
Appointment Information
Referral Information
Accepted Insurances
Fees
Orthopedics
Sports Medicine
Incontinence Program
Massage
Hand Therapy
Orthotics
Neurological Rehab
Custom Bike Fits
Peripheral Neuropathy Management
Ski and Snowboard Fitness
Pilates
Center Green Staff
Boulder Medical Center Staff
Home Locations Patient Information Provider Information Programs and Services Staff Contact Us

The forms available through this page can be downloaded and printed, giving you the ability to fill out the necessary paperwork before you visit our office. This will speed up your visit and help us treat you quicker.

Our forms are available in Microsoft Word and Adobe PDF formats. Click on the format your would like to download below. We recommend attempting to download the Adobe version first due to possible formatting problems that may be encountered when using different versions of Microsoft Word.

Every Patient must fill out forms 1 & 2. Please also read the HIPAA compliance policy under the "patient info" drop down menu before signing form #1. Form 3 is only to be filled out by those patients who are claiming their injuries directly related to a motor vehicle accident. Form 4 is for those patients who are not claiming their therapy through health care insurance. Use form 5 to authorize the release of your physical therapy records to another party.

1)Notice of Patient Privacy Act (HIPAA)      
2)Intake      

3)Motor Vehicle Accident Intake      

4)Private Pay Waiver Form      

5)Release Form