Forms

You can now use our Patient Portal to communicate in a secure and confidential manner with the Lone Tree Pediatrics healthcare team.

Taking just a few minutes to Register will give you access to valuable information and services provided in a secure and confidential manner. Once Registered and Logged on you will be able to:

  • Exchange messages with our practice
  • Review and pay billing statements
  • Request appointments
  • Research health topics
  • Review Personal Health Information
  • Complete and update medical forms
  • Update your profile and contact information

Below you will find other common forms we use in our practice.

NOTE: if you are a New Patient, please visit our New Patient forms page.

HIPAA Privacy Information

Medical Records Release Form – TO Lone Tree Pediatrics

Medical Records Release Form – FROM Lone Tree Pediatrics

Authorization to Treat Unaccompanied Minor

HealthMark Medical Records Request Status Check

Vanderbilt form for parents (initial)

Vanderbilt form for parents (follow-up)

Vanderbilt form for teachers (initial)

Vanderbilt form for teachers (follow-up)

OnPoint Medical Group Logo

The Best Network of Skilled Urgent & Primary Care Providers

Expanding access to quality healthcare in the most effective and affordable manner possible.

Lone Tree Family Practice logo
OnPoint Family Medicine at Parker Square
OnPoint Urgent Care Logo
Lone Tree Pediatrics Logo
Castle Pines Urgent Care
OnPoint Family Medicine at Westminster
Columbine Family Practice Logo
OnPoint Family Medicine
OnPoint Pediatrics at Highlands Ranch