NEW PATIENT FORMS



Prior to your first visit:

STEP 1 Read, sign, date and submit the HIPPA Privacy Acknowledgement

STEP 2 Fill out the Health History Form and submit

IT'S THAT EASY! Call us with any questions! (719) 528-8822

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Please fill out these forms so we can expedite your first visit:


Adobe PDF Icon   Patient Information & Health History

Adobe PDF Icon   HIPPA Privacy & Office Policies

Adobe PDF Icon   Autorization to Release Dental Information


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