576 Kokopelli Blvd. Suite B Kokopelli Professional Plaza Fruita, Colorado 81521
(970) 858-4544 • Office
(970) 858-9187 • Fax

Patient Forms
If you are a new patient, the below links contains our new patient bundle with forms that will need to be fill out to get the process started. You have the option filling out the patient forms online with our information secured site or you can download, print and bring with you the filled-out forms during your first scheduled appointment. This process will allow us to attend to your medical needs more quickly than completing them on your arrival. Thank you and please call our office if you have any questions. Please note: To review the new patient forms online, you’ll need to use your patient username and password. If you don’t have one, please call our office and we’ll be happy to set you up with one.
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Click here to submit online. |


