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Late Start

Due to the poor weather, we will open at 10 a.m. on Thursday, March 14. If you have any questions or need to reschedule an appointment, please call us after 10 at 719-574-7000. Stay safe, and stay warm!

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Home » Contact Us » Online Patient Registration Form

Online Patient Registration Form

Please complete the information below and submit the form online, or if you prefer print out the form after full or partial completion, and bring it when you come to our office. This form contains confidential information and is delivered to your doctor through a secure Internet connection.