Patient Intake Questionnaire

This brief questionnaire helps our team better understand your concerns and what you’re hoping to improve. Reviewing this information ahead of time allows us to guide you more effectively during your consultation.

After submitting the questionnaire, our team will review your responses and reach out to assist with scheduling. If you would prefer to schedule your complimentary informational consultation sooner, you are welcome to call our office at 406-316-6800 once the questionnaire is complete and submitted.

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**Please note: this form is for informational purposes only and does not establish a provider-patient relationship.