Primary Care Clinic Forms
If you are a new patient, please complete the following New Patient Forms Packet. Please print all forms single-sided.
Download The New Patient Forms Packet
If you need to complete or update individual forms, please print each form single-sided and bring them to your next appointment.
Individual Forms
Communication of Personal Medical Information
HIPAA Release of Medical Information
New Patient Medical Questionnaire
Stimulant Medication Agreement
Provider-Patient Agreement for Long-Term Controlled Medications
Medicare Annual Wellness Forms
The following forms should be filled out only by patients who are on Medicare. They should be completed before every annual Medicare Wellness Visit or if there are any changes between visits.
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Boulder Creek Family Medicine
1755 48th Street , Suite 200
Boulder, CO 80303
(303) 415-7450 More Information -
Dakota Ridge Family Medicine
2995 Baseline Road , Suite 210
Boulder, CO 80303
(303) 415-8900 More Information -
Erie Primary Care
101 Erie Parkway , Suite 201
Erie, CO 80516
(303) 415-5813 More Information -
Family Medical Associates of Lafayette
1000 W. South Boulder Road , Suite 110
Lafayette, CO 80026
(303) 415-4355 More Information -
Frontier Internal Medicine
2101 Ken Pratt Boulevard , Suite 104
Longmont, CO 80501
(303) 415-4155 More Information -
Gunbarrel Family Medicine
6685 Gunpark Drive , Suite 110
Boulder, CO 80301
(303) 415-7599 More Information -
Internal Medicine Associates of Boulder
5495 Arapahoe Avenue , Suite 100
Boulder, CO 80303
(303) 415-4250 More Information -
Northwest Family Medicine
3 Superior Drive , Suite 100B
Superior, CO 80027
(303) 415-8940 More Information -
Spruce Street Internal Medicine
2575 Spruce Street
Boulder, CO 80302
(303) 415-3875 More Information
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