New Patient Forms
Welcome! Prior to your first appointment, please log in to the Patient Portal below and create a new account. Then complete the following four forms online prior to your visit. You can also schedule online, or call (303) 444-4790.
1. Disclosure and Consent to Treatment Form
2. HIPAA Form
3. New Patient Form
4. Office Financial Policy and Authorization to Bill Insurance
1. Disclosure and Consent to Treatment Form
2. HIPAA Form
3. New Patient Form
4. Office Financial Policy and Authorization to Bill Insurance
Dr. Heather Richmond | (303) 444-4790 | 908 Main Street, Suite B104, Louisville, CO 80027