Save yourself 15 minutes in our waiting room!

Before visiting Revelation Chiropractic for the first time, take some time now, while you have everything with you, to fill out these New Patient Forms. We’ve put the new patient forms for chiropractic care here so you can complete them in the convenience of your own home or office. Then simply print them out, and don’t forget to bring them with you to your first appointment. If you prefer, you may fax the completed forms to our office at 970-692-8290 before your scheduled appointment.


New Chiropractic Patient Forms

Click Here for the Chiropractic New Patient Forms, print, and fill in the required information.

Click Here for the Auto Injury Patient Forms, print, and fill in the required information.


Evaluation Forms

Click Here for your Evaluation Maintenance

Click Here for your Reactivation Evaluation Form.

Click Here for your First Progress Evaluation.

Click Here for your Second Progress Evaluation.

Click Here for your Third Progress Evaluation.


Please bring the completed forms to your first appointment. Or you may fax the completed forms to our office 970-692-8290.