New Patient Forms

Welcome to Lone Tree Pediatrics!  In order to become better acquainted with your child, we ask that you provide us with medical background and immunization history prior to your first visit.

For your convenience, you may Register and complete our New Patient Forms online through our Patient Portal.

You can also use our Patient Portal to communicate in a secure and confidential manner with the Lone Tree Pediatrics 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

 

Call Us Today To Schedule An Appointment:
(303) 803-1005