New Patient Information

Welcome! We are so happy you have decided to seek care, and improve your health, with Dr. Chance. If you are not already a patient at our office please call 303.604.6164 to schedule your first appointment. You will be able to schedule all your future appointments with our convenient online scheduling system.

New Patients: You can come to the office 15 minutes ahead of time to fill out an electronic intake form; or you can print the New Patient History (below) and bring your completed form to your first appointment. Give us a call if you have any questions! 303.604.6164.

pdfNew Patient History

 

For Motor Vehicle Accidents

pdfMotor Vehicle Accident Intake

 

Forms for our Restart Series. If you are interested in meeting with Dr. Chance to talk about your nutrition concerns, contact us to set up an initial appointment and download and fill out the following documents.

 

pdfRestart Series: Nutrition Intake Form

pdfRestart Series: Food Diary

pdfMetabolic Assessment 

 

Neurological Assessment Forms

pdfBrain Assessment 

pdfChild Neurotransmitter Assessment

 

 

Share Button
Chance Chiropractic Center

103 E Simpson Street
Suite 100
Lafayette CO 80026
(303) 604-6164

Active Care

1365 Kipling Street
Lakewood CO 80215

Sign Up for our Newsletter: Get weekly Restart Series: Detox Program recipes, wellness and lifestyle news and "Darby Dog's Favorite Hikes".