Please print, review and complete these patient forms before your appointment. You can fax the completed forms to Westmed Family Healthcare at (303) 254-4369 or bring them in with you to your visit.

New Patient Forms

 

Click on the following forms:

• Patient Information
• Notice of Privacy Practices
• Authorization to Disclose Health Information
• HIPAA notice and acknowledgement
• HIPAA Personal Designation Form
• Patient Medical Information
• Payment Terms and Agreements

 

Established Patient Forms

 

Annually

• Personal Information–this form needs to be updated once EVERY year. Click here for the Patient Information form.
• Payment Terms and Agreements