Salida Family Medicine - New Patient forms and information

Serving the needs of Salida, Saguache, and Coaldale Colorado

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» New Patient Forms

New Patients to Salida Family Medicine

Dear New Patient,

salida medical staff Welcome to our practice! We are pleased and excited you have chosen us to help care for you and your loved ones. Our number one priority is for your family to live a safe and healthy lifestyle. Our physicians and clinical staff are here to support your family through all stages of their lives. We look forward to your family becoming a part of our family.

In order to most effectively utilize your time with us, please use the new patient links below to print out and complete our required forms and bring them with you to your upcoming appointment. Please be sure to bring your insurance card as well. Thank you for choosing us!

Dr. David M. Arnett, M.D.-P.C.
Dr. James G. Wigington

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
• Salida Family Medicine Financial Policy (pdf format) - please 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

• Prenatal Care at Salida Family Medicine - forms and guidelines