Patient Resources

Please return the forms below via the Mychart portal or fax the form(s) 303-795-1003.

Click on the links below to download the pdf version of the forms.

Consent for Medical Records Release

Authorization to Obtain Medical Records from Previous Primary Care Physician

Authorization to Permit Certain Individuals to Accompany your Child(ren) to Medical Appointments

Release of Patient Information - Office Visits, Labs/Xray

18 years and over patient authorization

Child Immunization Chart

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2-4 Month Vaccine Information Statement

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6 Month Vaccine Information Statement

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12 Month Vaccine Information Statement

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15 Month Vaccine Information Statement

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18 Month Vaccine Information Statement

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4 Year Vaccine Information Statement

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5 Year Vaccine Information Statement

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10 Years Vaccine Information Statement

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11-12 Years Vaccine Information Statement

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16-18 Years Vaccine Information Statement