Patient Forms

Please arrive to the clinic at least 15 minutes prior to your scheduled appointment. This is extremely important as you will need to sign additional forms and we will need to make a copy of your insurance card.

Please print the following pertinent forms, fill them out and return them to our clinic at your appointment or you may also fax them to us at 719-955-9595  

Help with On-Line Forms, contact our web site help by clicking here

For New Patients     click here for the New Patient Packet

For New COUGH CENTER Patients     click here for the New Cough Center Patient Packet

For COUGH CENTER Follow-up appointments     click here for Cough Center Follow Up Appointment Form

For New ASTHMA CENTER Patients     click here for the New Asthma Center Packet

For Allergy Shot Patients     click here for Allergy Shot Patient Forms

If your insurance changes     click here for updated insurance information form

Once a year for all patients     click here for Yearly updated form

Medical history release form     click here for Medical Release form