Patient Forms

For your convenience, you can download, print, and complete the patient forms below before your visit to Colorado Springs Dermatology Clinic, P.C.:

Patient Forms (PDF)

New Patient.pdf

Notice of Privacy Practices.pdf

Medical History.pdf

Financial Policy and Authorization.pdf

Financial and Information Release.pdf

Medical Records Release Form.pdf

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Patient Forms – Spanish (PDF)

Paciente Nuevo (New Patient).pdf

Poliza y Autorizacion Financiera (Financial Policy).pdf

Divulgacion de Informacion y Finanzas (Financial & Info Release).pdf