Minor Consent Forms

The forms below must be completed on a desktop computer.If the patient is under 18, a parent or legal guardian must complete and sign the consent form before the appointment if not attending the patient.

The forms below must be completed on a desktop computer.
Email filled-out forms toĀ [email protected]Ā 

Consult Form (Required)
Xray Consent (Required)
Intake Form (Recommended)

Step 1

Download the Form

Download the fillable PDF below.

Step 2

Open the PDF and fill out all required fields.

BeforeĀ  emailing, please download and save the form first, then attach the completed file to your email.Ā 

Step 3

Once completed, please send the form to us

Email: [email protected]

Call the office at (970) 717-0012 if you have any questions. We’re happy to assist.