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 FormĀ – TO Lone Tree Pediatrics

Medical Records Release FormĀ – FROM Lone Tree Pediatrics

Authorization to Treat Unaccompanied Minor