Columbine Family Practice – Complete Care for the Whole Family

To better serve you and to expedite your office visit, below is a listing of Forms to be completed by you PRIOR to your office visit.

Preparing for a health care visit will help you get the most out of the time you spend with the doctor, or health care practitioner. Preparing ahead will help communicate to the practitioner the reason for your visit. Please prepare a written list of questions for the practitioner before the visit, and PRINT and COMPLETE ALL forms below.

Patient Forms:

• Patient Information Form
• Health Summary Form
• HIPAA Form
• Authorization for Release of In-Coming Medical Information Form
• Authorization for Releaase of Out-Going Medical Information Form
• Authorization to Treat Minor Without Parent(s) Present Form