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.
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
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.
A list of medications.
Please bring a list of all medications, along with
all pill bottles, including any vitamins, minerals,
or herbal medications.
HMO Co-payment. If
you are a member of an HMO, we expect
your co-payment at the time of your visit.
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: