2055 S. Oneida St @ Evans #300 • Denver • 303.300.3933
This Practice is committed to maintaining the privacy of your protected health information ("PHI"), which includes information about your health condition and the care and treatment you receive from the Practice. The creation of a record detailing the care and services you receive helps this office to provide you with quality health care. This Notice details how your PHI may be used and disclosed to third parties. This Notice also details your rights regarding your PHI
View full notice Below
Concerned about risk of Chiropractic?
Relationship Recalibration participants, please fill out online questionnaire.
Schedule an Intro - appointment for Recalibration -(each partner needs to schedule seperately)
*Word files can be filled out on your computer, PDF has consistent formatting for everyone.
All Insurance participants (except Anthem BC/BS) are additionally required to fill
out the top and bottom of this PDF form.
Your insurance will only cover what you report - be thorough in reporting any and all areas that you might want to have treated.
If for some reason you have difficulty with online forms, please come in 15 minutes early to your appointment to fill them out in the waiting areas.
Forms and Policies
|Pain & Injury Healing|
|No pain - Great gain!|
|Neuromotor Deprograming FAQ|
|PTSD and NeurOntogenics|
|How do I react to thee?|
|What is QRA?|
|Eliminate Health Destroyers!|
|Online front desk|
|How To Begin|
|Pledge of Quality|
|Thank you for taking the Demo Session Survey|
|Safety of chiropractic|
|New Patient intake form|
|Acceptance of care|
|A new discovery|
|About Dr. Weissfeld|
|The real story of memory|
|Acupuncture & Energy medicine|
|LEAP - Brain Integration|
|States of Function and maladaptation|
|Breaking the cycle of pain and stress|
|The Neurobehavioral injury|
|Paper - PTSD model of muscle dysfunction - pdf|
|Paper - Neurobehavioral rehabilitation - pdf|
|LEAP - Neurological Basis- (MS Word doc)|