Occupational Medicine New Patient Information
First Appointment Information
What can you expect from your first appointment?
- Please arrive 30 minutes prior to the appointment time for initial paperwork, or create your patient portal account and complete paperwork online. Create your patient portal here >>
- Please allow an additional 1 hour for the first appointment. The occupational medicine provider will review the specific work-related injury/illness while also conducting a thorough medical history. A comprehensive physical examination will be performed.
- At the conclusion of the appointment the plan of care will be discussed with the employee and employer. A WC164 will be provided to the employee that lists any referrals made, any prescriptions, return appointments, and any work restrictions.
- A WC164 is state required form for reporting work related injuries.
- As the injured employee, expect contact from the workers’ compensation adjuster by mail or by phone.
State of Colorado Division of Worker’s Compensation Injured Worker’s Guide

Benefits of Workers’ Compensation:
- No co-pays. This includes visits, prescriptions, and medical equipment.
- Additional benefits may include acupuncture, massage, chiropractic, and physical therapy.
- Close follow up and longer appointment times with your medical provider (compared to primary care).
What to Bring:
- Photo ID
- First Report of Injury
- ER or Urgent Care Documentation (if applicable)
Expectations
We strive to build trust with our patients to ensure the best care. Our goal is to provide quality, patient-centered care. We provide complete information regarding the work injury/illness, including expected time of recovery and treatment options based on the Colorado Workers’ Compensation Treatment Guidelines. Our goal is to get an injured employee back to work as soon as possible.
Peak Form Medical Center Locations
scheduling@peakformcenter.com
303.655.9005
Easy access, free parking, on RTD bus line
Monday – Friday: 8am-5pm
Boulder
695 South Broadway
Boulder, CO 80305
Brighton
1093 E Bridge Street
Brighton, CO 80601
Broomfield
1260 E 1st Ave.,
Broomfield, CO 80020
Greeley
8225 W 20th St
Greeley, CO 80634