719-591-6666

6011 E. Woodmen Rd.
Suite 320
Colorado Springs, CO 80923

We work closely with physicians in a wide range of specialties to ensure you recieve the most complete medical care possible.

We are conveniently located next to the Birthing Center and St. Francis Medical Center.


Registration Forms

To eliminate the need to fill out forms when you come in for your first appointment, you can print and fill out these forms ahead of time.

On your first visit, please bring the filled out forms with you and a current copy of your insurance card so we can copy it for your chart.

PREGNANCY FORMS, please fill out and print the following forms:

FOR ALL OTHER APPOINTMENTS, please fill out and print the following forms:

*To have medical records from a previous healthcare provider forwarded to our office, fill out and mail or fax that provider a signed copy of this form.
**To have medical records from our office forwarded to another healthcare provider, fill out and mail or fax our office a signed copy of this form.

Forms are in Adobe Acrobat (PDF) format. To obtain a free copy of Adobe Reader, CLICK HERE