New Patient Paperwork

We are so excited that you want us to be your primary care provider! Make sure to schedule your appointment by calling 719-574-7083.

If you already have your appointment, you can save time and fill out your paperwork ahead of time. This way you know that you have all the documents you need to fill out the information and can take your time.

Make sure to bring your ID (or the ID’s of the patient) and proof of insurance for each patient. We need this information in order to see the patient. Thanks for your help!

Below you can download the new patient paperwork to fill out before your first appointment. We look forward to seeing you soon!

Download New Patient Paperwork (English):

If you would prefer to have the new client paperwork in Spanish, it is available at the front desk upon check-in.

If you are requesting a release of your medical records, please download and fill out this form:

Value Care Health Clinic is wonderful. I look forward to seeing the office staff everytime. Very friendly!”

Shelby Irene

via Google