Patient Forms

Welcome to the Colorado Dermatology Institute.  Please take a moment to fill out these forms prior to your first appointment.  Thank you and we look forward to helping you become comfortable in your skin®.

Please note: some browsers may have trouble rendering and printing PDF files. In that case, please right click on the file and select “save link as” and save to your desktop. Once you’ve downloaded the form, you can fill it out and print it directly from your desktop.

Please be advised that completing preliminary health and insurance questionnaires does not establish a physician-patient relationship with this practice.  Our Practitioners will review your health history and conduct an initial evaluation to determine whether you are a suitable candidate and whether the practice will accept you as a patient.

 

NEW PATIENTS:
*
Please bring photo ID and hard copy (cannot except electronic copies) of your insurance cards. Also, please arrive 15 minutes prior to your scheduled appointment time and allow at least 1 hour for your appointment.
-Forms to be Filled Out & Brought to the Clinic for Your Appointment

ESTABLISHED PATIENTS:
*
Please bring photo ID and hard copy (cannot except electronic copies) of your insurance card. Also, please allow at least 1 hour for your appointment.
-Forms to be Filled Out & Brought to the Clinic for Your Appointment

ALL PATIENTS:
Information and Procedures, Policies, Consents, and Regulations