Electronic Forms

Welcome to Rocky Mountain Chiropractic & Sports Injury Centers!

In order to help your first visit go as smooth as possible, please take a few moments and fill out the forms below before your first visit to our clinic.  Once you arrive there will be a check-in processes.  Having these forms done in advance will help check-in take less time so you can get to the good part sooner!  

Step #1: Fill out your  General Intake Form

Step #2: Check your email and look for the Verification Email to set-up your Patient Portal.

Step #3: Log into your portal and look for "Other Required Forms" 

Please complete these two forms:

1) Neck Index (Even if you do not have any neck pain)

2) Oswestry Back Index (Even if you do not have any back pain)

The first 3 forms are required for all New Patients, regardless of where you are experiencing pain.  If you do not have neck or back pain, that is great!  The Indexes will go quickly  for the areas of NO PAIN (Click Selection A for each question if you have no pain in that area).

Thank you for taking a few moments to complete these forms.  Dr. Hextell will review these before performing your New Patient Consultation.




Appointment Request Form

Please provide 1-2 alternative times.

Appointment Request Form

Please provide 1-2 alternative times.

Location

Find us on the map

Office Hours

Our Regular Schedule

Monday

8:00 am - 12:00 pm

2:00 pm - 6:00 pm

Tuesday

8:00 am - 12:00 pm

2:00 pm - 5:00 pm

Wednesday

8:00 am - 12:00 pm

2:00 pm - 6:00 pm

Thursday

Closed

Friday

8:00 am - 12:00 pm

2:00 pm - 6:00 pm

Saturday

8:00 am - 12:00 pm

Two Weeks per month

Sunday

Closed

Monday
8:00 am - 12:00 pm 2:00 pm - 6:00 pm
Tuesday
8:00 am - 12:00 pm 2:00 pm - 5:00 pm
Wednesday
8:00 am - 12:00 pm 2:00 pm - 6:00 pm
Thursday
Closed
Friday
8:00 am - 12:00 pm 2:00 pm - 6:00 pm
Saturday
8:00 am - 12:00 pm Two Weeks per month
Sunday
Closed