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.
Sports Physical Forms
Colorado High School Activities Association Sports Physical Form
- used at Bayfield High School
Escalante Middle School Physical Form
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