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Children's Medical Center

Children's Medical Center

Denver Pediatric Practice

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Home/Resources/Forms

Forms

Children’s Medical Center makes many of our commonly used forms available for you to download and complete prior to your visit to our clinic.  You will need Adobe Acrobat Reader to open these PDF files.

You can type right in these fillable PDF forms before printing them.  Parents who come in with these forms completed generally are able to reduce time in the waiting room and in the office.

Patient Information

New Patient Families should complete these forms prior to or at their first appointment.

Patient Information Form – EnglishDownload
Patient Information Form – SpanishDownload
Financial PolicyDownload
HIPPA FormDownload
No Show PolicyDownload

Download all the English Patient Information forms together in a single packet:

Patient Information Packet – EnglishDownload

Well Child Visit

Health AppraisalDownload

School & Camp

Health AppraisalDownload
Sport PhysicalDownload
School Medication ReleaseDownload
Camp Healthcare RecommendationsDownload

Flu Vaccination

These forms are for adults receiving vaccinations at Children’s Medical Center. Children who are our patients do not need to complete forms.

Non Patient Consent for Flu VaccinationDownload

Transition to Adult Care

Transition to Adult Care Packet – 18th BirthdayDownload
Transition to Adult Care Packet – 19-21 Year OldsDownload

Other Forms

Release of RecordsDownload
Over 18 Release of Records to Parents Download
Refusal to VaccinateDownload

Notices

Privacy PolicyDownload
Financial PolicyDownload
No Show PolicyDownload

How to Complete Forms

These are fillable PDF files. You can to complete them on a computer and print them on your home printer. You may also print them at home and fill them out by hand.

Get Adobe Reader

Tips for Filling Out Forms

Although you can fill in a form while it is displayed within your browser, we recommend that you not do so. You run the risk of accidentally deleting all of your entered form data by inadvertently clicking on the “back or “forward” buttons on your browser.  Clicking either of these buttons will close the form and delete of all your information.

We recommend that you open the Acrobat Reader program, click on file/open and locate the file saved on your computer hard drive. Then fill out the fields in Acrobat Reader independently from your browser or your Internet connection.

After completing a fillable form, you must first print and later sign the form.  At this time, all signatures, where required, must be hand written on the form. After printing and signing the document, bring a copy to your appointment.

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Call Children’s Medical Center

303-830-7337
Monday-Friday:
8:00am to 12:30pm &
1:30pm to 5:00pm

Saturday:
8:00am to 12:00noon

Phone system guide

Our Office Location

Children's Medical Center is located just east of downtown Denver at:

1818 N. Ogden Street
Suite 300
Denver, CO 80218

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Children’s Medical Center

1818 N. Ogden Street, Suite 300
Denver, CO 80218
303-830-7337

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