Institute for sacroiliac treatment, research, and education
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​ Aurora, Denver, and Colorado Clients
Physical Therapy New Patient Packet
NOTICE OF PRIVACY PRACTICES
Please download, review, and retain a copy of the Location & Travel Information documentation for helpful information regarding travel logistics, costs, and advice.
Download: Location & Travel Information

Required Paperwork

If you are planning on being treated at the Hesch Institute, the following paperwork below must be filled out via either option.
 

(We accept all major Credit Cards, Check, and HSA/FSA Cards. We don't bill medical insurance companies, but will provide you with a detailed invoice with all required information in order to file a claim with your insurance provider.) 

Option 1  - Print & Submit
Click below to download the Printable Version of the New Patient Form Packet.
Intake Form - Printable Version
You may scan as a single PDF document and do one of the following:
A) Email as a PDF attachment to [email protected]
B) Fax to 1-303-366-9998
C) Mail to:

Hesch Institute
25837 E Maple PL
Aurora, Colorado 80018
USA


Option 2 - Complete All Online
A Digital PDF can be filled out and submitted electronically by clicking the button below.

Please Note: Clients are encouraged to keep a copy for their own records.

Intake Form - Digital Version
Post-Consult Virtual Follow Ups
Upon request, we can schedule a follow-up phone call or video conference (e.g., Skype, Zoom, FaceTime) at any time after treatment, ideally 1-2 weeks after your last visit. We can also have you send a video of you performing the self-treatment and home exercise program. One option is to upload it on YouTube as a private link and forward the link. Of course, you can contact us at any time.