Phone: (720) 730-6670 Fax: (928) 358-4532

I request that several forms be reviewed and completed by the time of your first visit. 

Forms are also available through the Patient Portal, and can be electronically signed there.

ADULTS

CHILDREN/ADOLESCENTS

Privacy form

Consent for Telemedicine

Release of Information Form

Practice Policies

Surprise Billing Form

OTHERS, optional or upon request:

Vanderbilt Assessment Forms (for ADHD)

Adult ADHD Self-Rating Scale

Depression Rating Scale

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