1. PATIENT REGISTRATION FORM- ENGLISH or SPANISH and 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
   and ADD A MINOR PATIENT REGISTRATION FORM ENGLISH OR SPANISH (to add additional minors if necessary)

2. HEALTH INFORMATION RELEASE FORM- ENGLISH or SPANISH

3. BEHAVIORAL HEALTH CONSENT FORM - ENGLISH or SPANISH

4. ITEMS LISTED IN THE ENROLLMENT VISIT CHECKLIST

5. FOR DENTAL APPOINTMENT ONLY- DENTAL HEALTH HISTORY

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SI no puede traer talones de pago como prueba de ingresos, por favor, rellene el:

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EMPLOYEE INCOME VERIFICATION FORM (your employer must fill out) 

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SELF-EMPLOYMENT LEDGER (if you are self-employed) - ENGLISH or SPANISH 

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Si está interesado en un plan de seguro médico a través de Connect for Health Colorado y a usted (o a su cónyuge) se le ofrece un seguro médico de empleador, por favor, rellene este HERRAMIENTA DE COBERTURA PARA EMPLEADOS. 

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