Browse the tabs below to download the relevant forms and information ahead of your appointment.
Before we can schedule to review your case or arrange an initial in-office consult, we will need you to print out and complete the five forms below and send them to us via mail, fax or email.
In addition to these five forms, please arrange to send us ONLY:
- Previous Abdominal Operative and Pathology Reports
- Color Surgical Photos if you have them
- Lab work completed in the last 18 months
* Please mail printed forms to 1199 Main Avenue #217, Durango, CO 81301-4158, Attn: Michelle. Alternatively, you may scan and email documents to firstname.lastname@example.org
The following documents provide essential information about how to reach our center for your first in-office appointment and your patient privacy:
Additional forms as appropriate:
The following documents provide essential information in relation to your upcoming surgery. As soon as you schedule your surgery, please print out and read this information, referring back to it as your surgery date draws closer: