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New patients: 

Please click on adult or pediatric new patient forms below (depending on the age of the patient).  Fill out the forms and bring them with you to your appointment (or you may fax them in prior to your appointment.

Our fax number is: 303-805-5529.

Adult new patient forms (age 18 and over)

Pediatric new patient forms  (newborn – age 18)

Release of Records – this can be faxed to your previous physician if you would like records sent to us.

Notice of Privacy Practices – this is information only and does not need to be printed or sent to the office

 

 

 
Ph: 303-805-5528   Fax 303-805-5529





12543 N. Highway 83 (Parker Rd.) Unit #228, Parker, CO 80138