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Online Forms

Alliance Health Partners offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Email or fax us your printed and completed form(s) or bring it with you to your appointment.

Document Name

Download

Description

Personal Injury (PI) Paperwork

Download

New patient forms for auto accident/personal injury patients

General Insurance (GI) APS Paperwork

Download

New patient forms for health insurance patients

General Insurance (GI) Paperwork

Download
Colorado Integrated Care Network (CICN) Paperwork (Description: “New patient forms for CICN patients"

Personal Pay (PP) Paperwork

Download

New patient forms for personal pay/no insurance patients

Range of Motion (ROM) Paperwork

Download

New patient forms for range of motion referrals

Notice of Privacy Practices

Download

A written notice of all privacy practices used in our office, as required by HIPAA

Contact Us

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Office Hours

Our Regular Schedule

Monday:

7:00 am-7:00 pm

Tuesday:

7:00 am-7:00 pm

Wednesday:

7:00 am-7:00 pm

Thursday:

8:00 am-4:00 pm

Friday:

7:00 am-6:00 pm

Saturday:

8:00 am-11:00 am

Sunday:

Closed


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