Patient Resources

Authorization to Disclose Medical Records —Dr. Brotsky

Authorization to Disclose Medical Records—Dr. Christian

Authorization to Disclose Medical Records —Dr. Jeng

Authorization to Disclose Medical Records —Dr. Uyemura

Medical History Questionnaire—English

Medical History Questionnaire—English Pediatric
Spanish
These forms will be coming soon. Thank you for your patience.
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For routine appointments only. Please call us at 970-352-6688 if it is an emergency.