"A person is a person, no matter how small" - Dr. Seuss
  Small World Pediatrics,
Pueblo West, CO
  • HOME
  • Contacts and map
  • NEW PATIENT FORMS
  • Providers
  • General Information
  • Picture Album
  • NEWS!!!
  • Ages and Stages
 Please print and fill out forms and BRING WITH YOU ON YOUR FIRST VISIT. PLEASE REMEMBER TO BRING YOUR INSURANCE CARD, YOUR CHILD'S IMMUNIZATION RECORD AND ANY CO-PAY,  SHOULD YOU HAVE ONE.
hippa.pdf
File Size: 210 kb
File Type: pdf
Download File

If you have a foster child
File Size: 260 kb
File Type: pdf
Download File

authorization_to_disclose_info.pdf
File Size: 366 kb
File Type: pdf
Download File

patient_disclosure.pdf
File Size: 206 kb
File Type: pdf
Download File

new_demo.pdf
File Size: 334 kb
File Type: pdf
Download File

new_consents.pdf
File Size: 310 kb
File Type: pdf
Download File

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