salida colorado family medical care

Serving the needs of Salida, Saguache, and Cotopaxi Colorado

salida family medicine

salida medical care

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» Prenatal Instructions
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» New Patient Forms

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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

 

 

Prenatal Care at Salida Family Medicine

Dear Expectant Mother,

infant medical careWe 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!

colorado womens health

 

 

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