online forms

High Country Pain Relief requests pre-registration with our office by filling out our secure online Patient Registration Form.

Online forms are to be completed in the convenience of your own home or office, 24 hours prior to your scheduled office visit. If not, we reserve the right to cancel the appointment.

After you have completed the form, make sure to press the Complete and Send button at the bottom to automatically send us your information.

The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Simply click on a blue arrow below to get started.