Schedule Now

 

Patient Intake Forms

In an effort to be more efficient, we offer electronic paperwork that will be emailed to your account.  Please call our office and we can send the paperwork directly.  If you would rather fill out the paperwork in person, please arrive 10-15 minutes prior to your scheduled appointment time.  Please also remember to bring an ID card and any insurance information, if applicable.  We look forward to helping you reach all your health and wellness goals!

Back To Wellness Chiropractic

 

Required

Adobe Reader Required

In order to view and print our intake forms you must have Adode Reader. If you don't have Adobe Reader you can click the "Get Adobe Reader Button" to download and install it from the official adobe website.

It's free, safe, and takes less than 2 minutes.

Have A Question About Being a New Patient? 720-851-7400

  • Intake Forms

    Download and Print our intake forms.

  • My First Visit

    What to expect at your first visit.

  • Payment Options

    Affordable care for everyone.

  • Gallery

    Photos of Back To Wellness Chiropractic

Jeff Harris

I know there is so much controversy between chiropractic and medical care, but if it were not for chiropractic I would still be in pain. A car accident left me with constant lower back pain. I tried everything from painkillers to preparing to have surgery. I heard stories from my friends who had surgery and to this day wish they never had it. So I decided to go to a chiropractor before the surgery and I am so thankful that I did. My back pains are gone and I am living my life to the fullest and pain free.

Sue H.

I came to Back To Wellness Chiropractic and Acupuncture after a friend referred me for the injuries I had after my car accident. I have seen tremendous results relieving the neck problems related to the car accident. What I am most excited about is a 5 year intense pain in my ribs that has been greatly diminished after Dr. Derry's adjustments. Thank you!

Melissa J.

I came to Back To Wellness Chiropractic because I knew the staff and providers were welcoming and very thorough. I have seen a dramatic decrease in my back pain since I have started care here. Dr. Derry has given me different stabilizing exercises and at home care techniques to keep me well between my wellness adjustments.

Wendi L.

I decided to schedule an appointment with Dr. Derry because my lower back was hurting and I was also having upper back and neck pain. I now have no lower back pain! My neck has drastically improved as well. All of Dr. Derry's adjustments have helped with my migraine headaches!

Ellery A.

I was referred to Dr. Derry by a longtime patient of his. After treatment for my neck pain, I am virtually pain-free, no pain meds, no movement restrictions and no more headaches. I'm back to being me!

Mary H.

My back pain was preventing me from walking and causing numbness into my leg. I started care with Dr. Derry and have seen less pain in my lower back which aids in my sleeping and also I am back to taking walks for exercise.

Krystal M.

I started care with Back To Wellness because I was having persistent neck pain and found Dr. Tanja's adjustments to be amazing. I continue to receive treatments to maintain my health and functionality while doing things. It's nice not hurting so much!

Brian M.

I am a former professional golfer and started care with Dr. Derry because I was having golf related shoulder and neck pain. These issues stemmed from a previous surgery on my left shoulder. I went through Dr. Derry's TPI program and have been feeling great... no pain, playing better golf and sleeping much better!

© 2017 ChiroBuilt. All Rights Reserved.