Patient Forms

New Patients

Are you new to our practice?  If you have never seen our physicians before, please use the following forms:

Established Patients

Have you seen our doctors before? If you have records in our office, please use the following forms:

Records Release

Records Release TO our office from another office:

Occasionally, we will ask you to authorize another physician’s office to provide us with your medical records. Due to privacy policies, you will need to request those documents with a form and your signature. The following form can be printed at home, completed and submitted to your outside physician’s office. This form grants them your permission to release your records to our office. They may ask you to hand-carry them to our office. In the event they mail or fax your records, please check with us to make sure the records have arrived in our office before your appointment.

Records Release FROM our office to another office:

Are you moving? Is your insurance changing preferred providers for you? Is another specialty needing your records? Please call the office you normally go to and request the appropriate forms, find out fees, and discuss processing time needed to complete your record transfer.

Thornton Office: Phone: 303-280-2229 / Fax: 303-280-0765

Office and Financial Policies

Secure Credit Card Frequently Asked Questions

Updated Visitor Policy

Due to a decrease in COVID-19 cases in Colorado, we have updated our visitor policy to allow one masked visitor per patient. All patients and visitors must wear a face covering.

Skip to content