Medical Records Release Form

 

Click here to open the form to request records from your child's previous medical provider(s). This can be used to request records to be sent to us (for new patients), or to have us send records to your new doctor. Please fill out one for each prior provider, and email back to us at MedicalRecords@ppswdurango.com

          Click here for the Spanish form

New Patient Packet

 

Click here to print the 3-page New Patient Information Pack in English.

Click here for the 3-page New Patient Information Pack in Spanish

and here to print the Medical History Form

Please fill out the forms and bring with you to your first appointment. 

 
Tele-Health Forms

 

Tele-Health Technology Requirements

Consent for Tele-Health Service

 
Young Adult Forms

           

          Consent to Share Medical Information for Patients over 18

HIPAA Privacy Practices

          Click here for our HIPAA Notice of Privacy Practices form

Hours:

Main Clinic (Horse Gulch)

Monday - Friday

8:00 am – 5:00 pm

Saturday Clinic

9:00 am – 12:00 pm 

Bayfield Clinic

Monday - Friday

9:00 am – 5:00 pm

Durango High School

Monday - Friday

8:30 am – 4:30 pm

(hours vary during the summer and holidays)

After hours nurse on call:

970-375-0100

© 2018 by PPSW

Contact us for more information:

Telephone: 970-375-0100

Fax: 970-375-9210

 

Horse Gulch Health Campus

810 E 3rd St #301

Durango, CO 81301

Satellite Offices:

Silverton Public Schools
1160 Snowden St 

Silverton, CO 81433

Bayfield Schools
658 S East St 

Bayfield, CO 81122

Durango High School
School-Based Health Center

2390 Main Ave

Durango, CO 81301

Your PPSW Providers: 
Kim Caruso MD 
Cecile Fraley MD 
Brenda Huffman  MD
Amy Hurley MD

Lisa Isenberg PNP 
Aimee Jacoby PA-C
Betsy Kastak PNP 
David MacLaurin MD 

Jessica Marsh MD
Heidi McMillan MD

Kelly Miller MD 
Savannah Porter PA-C

Amanda Singh, PNP

Our Integrated Behavioral Health Providers:
LeAnn Shaw, MA LMFT

Shayla Williams, MSW

Anne Holmes, MSW

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