Patient Forms

We are dedicated to delivering the highest level of care and service to our patients. To help make your visit as smooth and efficient as possible, we’ve made the forms below available for you to complete at your convenience before your appointment. By filling them out in advance, we’re able to focus fully on you and your needs during your time with us.

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Forms Available Upon Request:

• Health History Questionnaire 

• Authorization for Release of Medical Records

• Authorization for Release of Medical Information

• Authorization for Release of PHI to Third Party

• Medication History Authorization

• Notice of Privacy Practices

• Privacy Notice Receipt

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If you have any questions or need additional information, please don’t hesitate to reach out. We’re happy to assist you—just give us a call at 720-428-2234 or send us a message through our Contact Us page.