Forms

 

Thank you for entrusting your families health in Foothills Family Practice. In order to assist you, we have posted the following forms for you to print and review or fill out prior to your arrival at our medical clinic.

All new patients are required to fill out the following new patient forms at check in:

     NEW PATIENT FORMS

All patients endergoing a complete routine physical examination are requested to fill out the following form in order to assist your provider:

     MALE PHYSICAL EXAMINATION FORM
     FEMALE PHYSICAL EXAMINATION FORM

Patients looking to have their medical records transferred either to Foothills Family Practive from another office or from Foothills Family Practice to another providers office are asked to fill out this form and fax it to the office where the records currently reside. Foothills Family Practice's Fax is 303-986-2205

     MEDICAL RECORDS TRANSFER CONSENT FORM