Please select and print the appropriate form for your treatment from the list below. All pages in the form are required to receive treatment at Scott Family Health. This includes general information about yourself (or dependent) and your current condition, HIPAA privacy policy (also serving as consent to treatment in our office), a financial policy (regardless of health insurance coverage), and our 24-hour cancellation policy. If you have any questions about any part of the form, please contact our office at (970) 235-2215.


Your privacy is important to us. All information received in the above forms and through other communications is subject to our Patient Privacy Policy.