Forms 

 

The Boulder Center for Sports Medicine wants to help you expedite the check-in process at our front desk.  The following paperwork can be printed and completed prior to your visit.  Thank you for taking the time to do this before your scheduled visit. 

 

Physical Therapy, Physician Clinics, and Sport Science Patients

     Medical History Form (pdf)
     Medication List (pdf)
     Financial Policy (pdf)

 

Sports Physicals (print this form in addition to the above)

     Sports Physical Survey (pdf)

 

Nutrition Clients 

      3-Day Diet Record

 

Medical Records  (If you would like to request a copy of your medical records, you will need to sign a release form.)

     Medical Records Release Form (pdf)

 

EKG Waiver form  (For sport science clients undergoing physiology testing, if you think your doctor would exempt you from our EKG requirement.)  Click on the link below, print it, have your physician sign it, and bring the signed form with you to your appointment.

      EKG Waiver

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