Patient Forms

You may provide us with your information through the patient portal, or you may download, print, and complete the applicable forms below.

New Patients

• New Patient Forms
• New Patient Forms - Fillable
• New Patient Forms (Minors)
• New Patient Forms - Fillable (Minors)

Mohs Surgery

• Pre-operative Packet

Wound Care Instructions

• Actinic Keratosis
• Biopsy
• ED&C

If you have questions about wound care following skin cancer surgery, please call our office at (719) 355-1584.

Commonly Requested Forms & Documents

• Authorization to Release Medical Records (to Vanguard)
• Authorization to Release Medical Records (from Vanguard)
• Consent & Financial Policy Form
• Consent to Treat Minors
• Consent to Treat (to be signed by POA)
• Financial Policy for Patients with Unmet Deductibles and Self-Pay Patients
• Notice of Privacy Practices

Medical Service Prices

• Medical Services Price Sheet

Mohs Surgery Information

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