Request an Appointment
Please do not use this form if you have an urgent medical problem or you need to reschedule an existing appointment. Instead, contact our office at (719) 623-1050 or go to our urgent care clinic. After you submit your request, our appointment scheduler will respond within 48 hours. See below for forms to complete.
Patient Registration Forms
Once you have made an appointment, you may preregister by downloading, printing, and completing the form(s) below. Doing so prior to your visit will help speed up the patient registration process.
Be sure to bring any diagnostic films or other test results that may have been ordered or performed by another physician.
If you are going to our orthopedic urgent care clinic, you can also complete these forms ahead of time and take them with you for faster service.
Please note: It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.