New Patient Forms

Welcome to Lone Tree Pediatrics! All new patient forms are filled out electronically during the check-in process of your first appointment. If you are coming to us from a provider outside of Colorado, please email an up to date vaccine records to [email protected].

Then, after your first appointment, you may register for 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.

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

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