Click Here to view letter about CPC Plus participation.
Mission and Forms
New Patient Forms
Authorization to Release Information to Third Party
Release of Medical Records to Family Care Southwest
Pediatric New Patient Form
Have a child who is a new patient? Want to skip the 20 minutes of forms to fill out in the lobby on the child's first visit? Fill out this form to give us your child's medical history.
Notice of Privacy Protection
Medicare Participation in Comprehensive Primary Care (CPC) Initiative Letter This letter is explains the partnering of
Family Care Southwest with Medicare and other health insurance plans in the CPC Initiative.
CPC Initiative Patient Declines to Participate Letter
- Colorado's information exchange Opt-out request form
No show Policy
Patient Financial Obligations
Policy for Portal Use
NCQA Patient-Centered Medical Home (PCMH) Recognition is the most widely-used way to transform primary care practices into medical homes.