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Patient Pre-Registration Forms

If you would like to make an appointment, please call us at 970-247-5362 or toll-free 1-800-524-9821.

Patient Forms

If you have an appointment in our office and would like to complete your registration process, please print the following form(s). These can be mailed to us if time allows, or you may bring them with you at the time of your appointment.

If you are a new patient please complete both a registration and health history form.

Registration form

Health History form for Dr. Gwendolyn Grant

Health History form for all other physicians

We would also appreciate your time to complete one of the following forms, which will tell us about your injury or symptom:

Back or neck injury or symptom (2 pages)

Shoulder injury or symptom (2 pages)

Knee injury or symptom (2 pages)

Other injury or symptom (hand, wrist, arm, elbow, hip, leg) (1 page)

If time allows, mail the completed forms to the following address:

Durango Orthopedic Associates
Attention: Medical Records
1 Mercado Street Suite 202
Durango, CO 81301

 

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Disclaimer:

The pictures displayed in www.durangoorthopedics.com are images of actual patients and employees who have consented to have their picture in this website.

Need more information on health and wellness? Click here for information on diet, nutrition and health resource books. Learn when to see the doctor and what causes symptoms.