Health Questionnaire


Give Us A Head Start On Your Health Condition

Fill out our Health Questionnaire below to give us a head start on your current health condition. When you're done, simply indicate whether you'd like us to contact you by phone or e-mail to discuss your health plan options as well as explore the possibility of scheduling you for a consultation and examination.

Health Insurance Coverage Questions?

We will gladly contact your health insurance company to determine the extent of chiropractic health coverage you have with our office. Simply include the information in the appropriate form fields below.

Your Confidentiality Is Important To Us

Any and all information submitted is and will remain confidential.

Applewood Chiropractic
12505 West 32nd Avenue
Wheat Ridge, CO 80033
Phone: 719-581-6848
Fax: 303-237-6253
Office Hours

Get in touch