Pediatrics of Steamboat
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Patient Consent Forms

HIPAA Form for patients 18 and over

Treatment without Guardian

School Forms

General Health Appraisal
General Medication Permission Form
General Sports Physical Evaluation
Special Diet Statement

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Release of Medical Information

Records Release Form — Allows us to release your record to others

 

Steamboat Springs

940 Central Park Drive, Ste 201
Steamboat Springs, CO 80487

(970) 871-1900
Fax: (970) 870-3138

Hayden

168 South Walnut Street
Hayden, CO 81639

(970) 276-1900

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