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New Patient Forms

Rockrimmon Integrated Medical offers new patient forms online so they can be completed at your convenience.

  • If you do not already have AdobeReaderĀ® installed on your computer, click here to download.
  • 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.

Download & Print Form


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.

Download & Print Form



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Locations

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Office Hours

Our Regular Schedule

Primary Office

Monday:

9:00 AM-12:00 pm

2:30 pm-6:00 pm

Tuesday:

7:00 am-1:00 pm

Wednesday:

9:00 AM-12:00 pm

2:30 pm-6:00 pm

Thursday:

9:00 AM-12:00 pm

2:30 pm-6:00 pm

Friday:

7:00 am-1:00 pm

Saturday:

Closed

Sunday:

Closed