Patient Forms

Forms are in PDF format. You can open them with Adobe Reader,
a free software.

New and Existing Patients:

• Patient Registration +
• Confidential Health History +
• Consent for Release of Personal Health Information +
• Consent for Participation in LHP Valence Initiative +
• All New Patient Forms +

Other Forms:

• Allergy Injection Therapy Consent +
• Out of Office Administration of Allergy Extracts +

Refer a Friend

We consider it the greatest of compliments to have a friend or family member referred to our practice. We take pride in the fact that we are now seeing some family members to the third generation. To refer a family member or friend, we would ask that they call our office at 303-234-1067 to make an appointment with one of our doctors. They can also “Request an Appointment” on the home page of this website by providing us their first and last name, phone number, and e-mail address. One of our office staff will contact them within 24 hours of receipt of their request.

Existing Patient Survey

Request Your Records

To release your records, please fill out a Record Release Form +.