You can download the Life History Questionnaire [LHQ] by clicking on this link:

DOWNLOAD THE LHQ

The LHQ will be in PDF format which you can print and fill out by hand. To open a PDF form you will need Adobe Reader which can be obtained for free at:

http://www.adobe.com/products/acrobat/readstep2.html

Please fill out the LHQ by hand using pen and printing clearly. Mail the completed LHQ to:

        Dr. Richard Wihera
        9250 W. 5th Ave., Suite 301
        Lakewood, CO 80226

The LHQ needs to be postmarked by the deadline you were given for completing the online version. Regular postal service is satisfactory, and priority or overnight delivery is not necessary. However, we will not accept any packets received Postage Due.

Call if you have any further questions or difficulties. 303.233.2660.