Highlandsfamilymed.com

Patient Portal – Highlands Family Medicine

Web4500 West 38th Ave Suite 220 Denver, 80212 Office: 303-420-1297 Fax: 303-420-2953

Actived: 6 days ago

URL: https://highlandsfamilymed.com/patient-portal/

Providers – Highlands Family Medicine

WebNathan LittonPA-C. Nathan Litton is the most recent provider to join Highlands Family Medicine. He joined our team in May 2022. We welcome him from the St. Luke’s Health …

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Services – Highlands Family Medicine

WebOur providers are all able to address the unique needs of women’s health care with regard to the diagnosis and treatment of disorders affecting female reproductive organs. Among …

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Highlands Family Medicine

WebAt Highlands Family Medicine, we see family medicine as the most diverse medical practice. Our providers care for you as an individual and as a family. All of our staff works hard to …

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New Patients – Highlands Family Medicine

WebAt this time, Highlands Family Medicine is NOT accepting new patients. We apologize for the inconvenience, please call our front desk at 303-420-1297 if you have any questions.

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Authorization to Disclose Health Information 1.

WebSignature of Patient or Authorized Personal Representative. Date. Personal Representative’s Name (print) Relationship (parent, legal guardian, personal …

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PATIENT INFORMATION PATIENT EMPLOYMENT / SCHOOL

Web2/2 UPDATED: 8/7/2015 SECONDARY INSURANCE COMPANY Insurance Company: _____ Insured Name: _____ ID #: _____ Relationship to Patient: _____

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New patient history form 081513

WebTetanus shot Y N. Did the tetanus shot include whooping cough (pertussis)? Y N. Office: 303-420-1297 Fax: 303-420-2953. MEDICAL PROBLEMS: Please list any significant …

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If you need instructions to start using the portal, please ask …

WebPATIENT PORTAL INSTRUCTIONS. We are excited to provide a patient portal for our patients! You can use the portal to do tasks such as: Find your immunization record. …

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Patient Information Patient Employment/ School

WebHighlands Family Medicine Patient Information Patient Employment/ School Name: Employed Retired Self Address: Unemployed Other Apt#: City: Employer/ school:

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Highlands Family Medicine

Web5. Well Care Visits: (Often known as Annual Exams) Because of insurance payment policies, we are only able to discuss the following at your Annual Exam: recommended cancer …

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Insurances – Highlands Family Medicine

WebInsurances. Our providers are credentialed with nearly all commercial insurance carriers in our area – but BE AWARE that in today’s insurance market, there are many small …

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Location – Highlands Family Medicine

Web4500 West 38th Ave Suite 220 Denver, 80212 Office: 303-420-1297 Fax: 303-420-2953

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Highlands Family Medicine

WebPatient Name _____ Date of Birth _____ Today's Date _____ PATIENT FAMILY HISTORY QUESTIONAIRRE In order to help your provider with your health assessment today, …

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Highlands Family Medicine

WebUpdated 8/7/2015 Highlands Family Medicine Notice of Privacy Practices This notice describes how your information may be used and disclosed, and how you can access

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NEW PATIENT HISTORY FORM

WebMEDICAL PROBLEMS: Please list any significant illnesses that you have/had (EXAMPLE: DIABETES, HIGH BLOOD PRESSURE, ASTHMA…) Problem Year SURGERIES: …

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