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Peak Balance Family Wellness offers our patient forms online so they can be completed in the convenience of your own home or office, before you even arrive to our chiropractic office.

New Patient Intake Form - Required

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Let us know!

Submit Form Online

New Patients Receive a 30 Minute Massage with First Exam

*Please mention this offer when scheduling visit. Cannot be combined with insurance
Fill out the form below or call (719) 360-6958 to make your appointment.

 



 

THIS ---->https://peakbalancefamilywellnesscom.chiromatrixbase.com/online-forms.html

Receptionist Hours

DayMorningAfternoon
Monday9:00am6:00pm
Tuesday9:00am6:00pm
Wednesday9:00am6:00pm
Thursday9:00am6:00pm
Friday9:00am6:00pm
SaturdayClosedClosed
SundayClosedClosed
Day Morning Afternoon
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
9:00am 9:00am 9:00am 9:00am 9:00am Closed Closed
6:00pm 6:00pm 6:00pm 6:00pm 6:00pm Closed Closed

My back has never felt better. Dr. Harlow took the pain away that I had been living with for over 20 years and didn't even realize it. I just went back again last week and it was another amazing experience. I sleep better than I have in a long time.

Brad M.
Colorado Springs, CO

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