Pueblo Pulmonary Associates
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What to bring to your appointment

  1. A written referral - Please make sure that you have a written referral from your doctor or HMO. If you don’t have one, please call us at (719-564-1542) to determine if you need to obtain one. Most insurance companies require us to obtain written authorization BEFORE examining their customers. Almost all HMO's and Medicaid require us to have a written referral before we see you as a patient.
  2. Your insurance cards - Please make sure you bring all of your insurance cards to your visit:
    Your primary insurance cards
    Your secondary insurance cards
    Any Medicare and/or Medicaid cards
  3. A current chest x-ray and all available previous x-rays. A current chest x-ray is required for all new patients and for most returning patients. If your referring physician did not obtain a chest x-ray, please call us to schedule one before your doctor visit.
  4. A list of medications. Please bring a list of all medications, along with all pill bottles, including any vitamins, minerals, or herbal medications.
  5. HMO Co-payment. If you are a member of an HMO, we expect your co-payment at the time of your visit.

Forms:

Patient Information

Clicking on the above link will download a PDF to your computer that can be then printed and filled out. Other forms will be added as they become available.

Note: Our patient forms are in PDF format and require Adobe Acrobat Reader to view or print. If you don't have Acrobat Reader on your system, you may download it by clicking on the image below:

Link to Download Adobe Acrobat Reader