Longmont Institute: Intake Forms

Please download the appropriate Longmont Institute of Integrative Medicine PDF file for your upcoming visit to the practice:

• Dr. Berezenoff's
• ADULT Medicine and Surgery: ADULT intake form.
• TEENS Medicine and Surgery: TEENS intake form.

• Dr. Rabinowitz's Natural Medicine and Acupuncture intake form.
• HIPAA form.

Call the office immediately if you have trouble downloading the forms:
(303) 776-3202