Institute for sacroiliac treatment, research, and education
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​ Aurora, Denver, and Colorado Clients
                  Physical Therapy New Patient Packet
COVID PROTOCOL 1
NOTICE OF PRIVACY PRACTICES

Review page 1 and 2 of the patient paperwork packet, for information regarding cost and logistics



If you are planning on being treated at the Hesch Institute, please complete our New Patient Packet and forward it.

Please carefully read the instructions for the patient narrative and answer each item. Put your name on the narrative and add page numbers.
 

We accept all major Credit Cards, Check, and HSA/FSA Cards. We don't bill medical insurance companies, but will provide you with a detail invoice, so you can file a claim with your insurance provider.   
  
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       Please put your name on each page, as we receive multiple faxes daily
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Below either choose: 

Option 1 - Click below to download print version the New Patient Form Packet including privacy & financial forms) to either fax or email, or US Mail to Hesch Institute. Please don't send us photos inside email, we prefer a PDF attachment if sending by email.
Option 2 - to be filled out digitally which will then automatically be submitted to us. 

Location/Travel Information

Intake Form - Printable Version
Intake Form - Digital Version