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Patient Forms


Patient Forms

If you are a new patient to the practice or have not been seen within 1 year, please bring your completed patient forms with you to our office at the time of your visit.

Patient Registration Forms

Health History

Notice of Privacy Practices

Notice of Nondiscrimination

You may upload your completed paperwork before your appointment by using the HIPAA compliant E-mail address below. Please note: Your information is transferred via a secure encryption service if you choose to use this option.


*You may also complete your patient forms using the patient portal. We can enroll you in the patient portal for you to access all paperwork you may need or you may enroll yourself by going here:


If you have questions about whether you should fill out the paperwork, please feel free to contact our office at 303-840-8822. 

To view the forms above, you will need Adobe Reader. You may download Adobe Reader for free at www.adobe.com.


Colorado Colon & Rectal Specialists
9397 Crown Crest Blvd, Suite 301
Denver Metropolitan Area

Parker, CO 80138
Phone: 303-840-8822
Fax: 303-840-8824

Office Hours

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