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 a 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)663-2225.


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