Patient Forms

–  Please be sure to print the forms from the right doctors office.  –

Family Physicians of Western Colorado

Records Request – Family Physicians of Western Colorado

Medical Nutrition Therapy & Diabetes Education

Initial Assessment Form – Medical Nutrition Therapy & Diabetes Education
Food Diary – Medical Nutrition Therapy & Diabetes Education

Primary Care Partners

Consent To Release – Primary Care Partners

Red Canyon Family Medicine

Medical Release Form – Red Canyon Family Medicine

Tabeguache Family & Sports Medicine

Patient Information Form – Tabeguache Family & Sports Medicine
Medical Release Form – Tabeguache Family & Sports Medicine
Concussion Resource Page – Tabeguache Family & Sports Medicine

Western Colorado Pediatric Associates

Patient Information Form – Western Colorado Pediatric Associates
Patient-Family Medical Information – Western Colorado Pediatric Associates
Parent Consent to Add Child Over 18 – Western Colorado Pediatric Associates
Records Release – Western Colorado Pediatric Associates
New Insurance Information – Western Colorado Pediatric Associates

Western Colorado Physicians Group

Record Release – Western Colorado Physicians Group
New Insurance Information – Western Colorado Physicians Group
New Patient Application – Western Colorado Physicians Group

EasyCare Colorado Registration

EasyCare Registration Instructions