Provided below are various forms that require completion prior to your visit and/or surgery. Please download the appropriate form as directed by your physician and/or staff by clicking on the name of the form. If you cannot access the form, please click on the Adobe box. This will allow you to download this software, providing access to the forms. Please bring the completed form(s) with you to your scheduled visit. This will help expedite the registration process.

If you cannot access the forms you can click on the icon to download the software.

If you are a new patient, please print, and bring the following completed forms with you:

• Patient Information
• Medications List (if applicable)
• Injury Information
• Initial Patient History Survey

If you are a member of Rocky Mountain Health Plans, please complete the following information and call 970-243-7050 to speak with the Coordination of Benefits (COB) department:

• Rocky Mountain Health Plans Injury Form

If you are being seen for neck (cervical) pain or back pain, please complete:

• Neck/Back Pain and General History

If you would like medical records from Western Orthopedics & Sports Medicine, or if you need records to be released from a physician or healthcare provider for your visit to WOSM, please download, complete, and send in this form.

• Medical Records Release