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Mile High Sports Chiropractic specializes in assessment and treatment of fascial abnormalities. Understanding how pain/dysfunction is presented allows for our patients to achieve amazing results in significantly less visits. Visit us in Cherry Creek today!

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(720) 600-6242

90 Madison Street, Suite 705

Denver, CO 80206

Medical Questionnaire

Interested to know if we're a good fit?

Someone from our office will contact you with more information about how/why we may or may not be able to to assist you. Please be advised that it is difficult to fully understand a patients issues without an in depth history and examination as provided during your first office visit.

Fill out the following form to help us understand more about your current situation.

Initial Medical Questionnaire

Did your complaint happen while at work or was it the result of a motor vehicle accident?
Have you ever experienced this issue before?

By submitting this form, I declare that the information I have provided is accurate to the best of my knowledge. I understand that filling out this form is not the same as scheduling a consultation or contacting the business directly.

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