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Broadmoor • Colorado Springs East • Colorado Springs West
Falcon • Fountain • Woodland Park

Patient Forms

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Please take a minute to print and fill out the patient information form before your first appointment:

New Patient Form

The primary purpose of this first visit and consultation for you is introductory and informative. No fee is charged for this appointment.

*
First Last
Email*
Location*
Email
This field is for validation purposes and should be left unchanged.

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