One Mercado Street, Ste. 200 Durango, CO 81301

Call Call: 970.382.9500fax Fax: 970.375.0007

inner banner

Patient Forms

To ensure your appointment is efficient, please complete the following forms and bring them to your visit. If you are not sure which forms to complete, our staff will be happy to provide guidance.

Save a tree and complete your forms on your Patient Portal.

New Patients

Health History form

To request a copy of your medical records, please complete the following form.
Medical Records Release form – Authorization to Use or Disclose Protected Health Information

Forms can be mailed to us if time allows (5 business days), or you may bring them with you at the time of your appointment.

Mailing Address:
Spine Colorado
1 Mercado St, Suite 200
Durango, CO 81301