Fill Out Patient Paper Work Below

1. Fill out the form to get a secure link to our online paperwork sent to your email.
2. Within 10 minutes you will receive an email with the links to the paperwork from Cognitive FX. (Make sure to check your spam or junk folder if you don't receive it.)
3. After your paperwork is submitted we will review your paperwork to ensure your injury is within the scope of our treatment.
4. Typically we will contact you within 48 hours to schedule the consult.  If you haven't received a call from us after three business days, you are welcome to give us a call at 385-375-8590.

** We are aware of the coronavirus outbreak and recent travel announcements. To learn what we are actively doing at the clinic, please click on the "learn about COVID-19" button on the home page or call our office at 385-375-8590. **