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Excellent patient care inspired by compassion

Forms

Pre-Registration Instructions

If you would like, you may complete the downloadable forms at home and bring them to your doctors appointment.

Downloadable Forms

Download the form that applies to you and or your child, print them out and bring them in with you.

Online Forms

Click the link to fill out the form that applies to you and or your child then you can submit them online.

Pediatric Forms

Download the form that applies to your child, print them out and bring them in with you.

At this time, we are unable to accept online payments.
Please mail in your payment or call our billing dept at 1-719-266-0411 to process your payment.
Thank you for your understanding.