Patient Registration Forms & Privacy Notices
If you are a new patient or new to the practice, please fill out the forms listed below in advance of your appointment to assist the staff in making sure that we have all the information necessary to provide you with quality care and treatment. Please bring the completed forms with you to your appointment.
- New Patient Registration Forms
- Welcome to the Practice
- Patient HIPAA Acknowledgment & Disclosure Consent (printable)
- Hotel & Lodging Discounts
To sign up for the patient portal, we need to obtain your consent and e-mail address. Please call our office at (303) 762-3472 to get started.
To obtain paper copies of your medical records, please fill out the Authorization to Release Health Information Form.
If you would like your medical records sent to our facility, please complete the Authorization to Release Health Information to DISC form.
Patient Rights & Responsibilities
We respect our patients’ dignity and pride. This document will explain your patient rights and responsibilities. It is part of your patient registration and is an important part of your health care plan.
This privacy notice describes how health information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
- Notice of Privacy Practices (provided for you at your first visit)
- Aviso Sobre Las Practicas De Privacidad (proporcionada por usted en su primera visita)
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