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

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 FormĀ – TO Lone Tree Pediatrics

Medical Records Release FormĀ – FROM Lone Tree Pediatrics

Authorization to Treat Unaccompanied Minor

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