Rockrimmon Integrated Medical offers new patient forms online so they can be completed at your convenience.
- Download the necessary form(s), print it out and fill in the required information.
- Fax your printed and completed forms at 719.593.0744 or bring them with you to your appointment.
New Patient Health History Form - Required
This form lets us know the history and current state of your health. Do not fill out these forms if you were in a car accident, fill out the forms below.
Auto Accident Form
This form is to be filled out and printed prior to your visit ONLY if you were involved in an automobile accident and that is the reason for your visit. If you are filling out these forms you do not need to fill out the "New Patient Health History" Forms.