Print and complete the "Patient Information," "Medical History," "Mandatory Disclosure" and "Privacy & Consent" forms below. (Click each thumbnail - all 4 - to open & print each form.)
Filling these out beforehand will save you time at your actual appointment. Please call if you have any questions, 719-334-3347.
I look forward to working with you towards your good health!
Privacy & Consent
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Falcon, Colorado 80831
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Phone: 719-334-3347
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