The following High Mountain Health office forms are provided here for your convenience. You may:

• Fill these forms out on your computer
• Print them out, sign on all signature lines, and
• Bring them with you to your appointment.

PLEASE NOTE: You can save these documents to your own personal computer files. They can not be saved on the High Mountain Health website. When you bring the signed forms into the office they will be scanned into your electronic medical record.

New Patients' Registration Packet


This packet containsthe forms you will need to complete and provide to our office staff on your first visit. These and some additional forms are also available individually by clicking on the links below.

Authorization to Release Records to Other Practices

High Mountain Health's Financial Policy

HIPAA Disclosure Form

Medical Release Form

Medicare Health Risk Assessment

Medications List

Motor Vehicles Accident Information Form (MVA Form)

Patient Compact

Patient Health History

Patient Portal Authorization

Patient Record of Disclosure

Patient Registration Form

Worker's Compensation Information Form