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Success Stories

Jerry Munson's use of PUSH Therapy gave me the relief I had been seeking. Within less than five months, I was out of pain and back to normal... Read More »

You have helped my lower back issues, aided in the relief of my constant headaches, and almost completely gotten rid of my chronic heartburn... Read More »

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Click on the name of the form to download in Adobe PDF format. You will need Adobe Acrobat Reader to open the downloads. Click the link below to get it for free.

Back to Basics Health Center
Intake Forms

Dr. Derek Rice
Consent to Treat a Minor

 

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7500 West Mississippi Ave. Suite B-120 Lakewood, Colorado 80226
For appointments call: 303-922-7946Web design by CATALYST creative, inc.

 

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