Patient Forms

Breitenbach Chiropractic 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.


New Patient Health History Form

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!

Click here to fill out our intake form online!

Office Hours

Monday:

8:00 am-6:00 pm

Tuesday:

8:00 am-6:00 pm

Wednesday:

8:00 am-6:00 pm

Thursday:

8:00 am-1:00 pm

Friday:

Closed

Saturday:

Closed

Sunday:

Closed

18483 Highway 145 | Dolores, CO, 81323