Patient Forms


4-Corners Chiropractic LLC offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.

  • If you do not already have AdobeReaderĀ® installed on your computer, click here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

New Patient Health History Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Download & Print Form


Auto Accident Form - Required for Auto Accident Victims

This gives us critical information regarding your auto injury.

Download & Print Form

Office Hours

Our General Schedule

Monday:

8:00 am-6:00 pm

Tuesday:

8:00 am-5:00 pm

Wednesday:

8:00 am-5:00 pm

Thursday:

8:00 am-5:00 pm

Friday:

7:00 am-12:00 pm

Saturday:

Closed

Sunday:

Closed

Our Location

440 West Main | Cortez, CO 81321

Contact Us Today!

We look forward to hearing from you.