1. PATIENT REGISTRATION FORM- english or spanish

   • ADD A MINOR PATIENT REGISTRATION FORM english or spanish (to add any minors you are also registering) OR, if you are only registering minors you are the parent/guardian of and not yourself: 

   • MINORS ONLY PATIENT REGISTRATION FORM – english or spanish

2. HEALTH INFORMATION RELEASE FORM- english or spanish

3. BEHAVIORAL HEALTH CONSENT FORM - english or spanish

4. ITEMS LISTED IN THE ENROLLMENT VISIT checklist

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IF you are unable to bring pay-stubs as proof of income, please fill out the: 

              EMPLOYEE INCOME VERIFICATION FORM (your employer must fill out) 

              SELF-EMPLOYMENT LEDGER (if you are self-employed) english or spanish 

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IF you are interested in a health insurance plan through Connect for Health Colorado and you (or your spouse) are offered employer health insurance, please fill out this EMPLOYEE COVERAGE TOOL. 

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