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Clinic Hours:
Monday 8-5
Tuesday 8-5
Wednesday 8-5
Thursday 8-5
Friday 8-5
Saturday 9-11
Salida Family Medicine
320 East 1st Street
Salida, CO 81201
Phone: 719-539-3583
FAX: 719-539-3028
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Prenatal Care at Salida Family Medicine
Dear Expectant Mother,
We are pleased and excited you have chosen us to help care
for you during this very special time in your life. Our number one
priority is for you to have a safe, happy pregnancy as well as a
memorable delivery with thorough postnatal care, and informative
and comprehensive care for your newborn. Our physicians and
clinical staff are here to support you through the upcoming months
and beyond.
In this packet, you will find a personal history form to
complete, as well as some additional information to review and
sign. Just bring the completed packet with you to your upcoming
appointment.
Prenatal Instructions
Over the Counter Medications
Forms for reading and downloading
• New Patient Information Form (pdf format) - download and fill out
• New Patient Payment Form (pdf format) - download and fill out
• Notice of Privacy Practices
• Acknowledgement of Receipt of Privacy Notice (pdf format) - please download and fill out
• Authorization to Release Protected Health Information/Records (pdf format) - please download and fill out
• Pregnancy and Medication Risks (pdf format) - please download and fill out
• Salida Family Medicine Financial Policy (pdf format) - please download and fill out
• Obstetrical Care Financial Agreement (pdf format) - please download and fill out
• Prenatal Data Base Questionnaire (pdf format) - please download and fill out
We look forward to seeing you, and
welcome to our practice!
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