Parakletos Osteopathic Clinic
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    • Home
    • General Info
      • About Us
      • Osteopathic Medicine
      • Clinic Mission
      • Dr. Leins
      • What We Treat
      • Services We Offer
    • Patients
      • For Patients
      • What to Expect
      • Patient Forms
      • Schedule an Appointment
      • FAQ
    • Resources
      • Resource Links
      • Students & Residents
      • Patient Resources
      • Skateboarding
      • Helpful Links
      • Vaccines
    • Contact Us
Parakletos Osteopathic Clinic
  • Home
  • General Info
  • Patients
  • Resources
  • Contact Us

Patient Forms

Welcome to the Parakletos Osteopathic Clinic!

We are so glad you have decided to pursue osteopathic health care at our clinic.  Please print off the appropriate forms below, fill them out completely, and bring them to your first appointment.

For All New Patients

New Patient Forms (pdf)

Download

Notice of Privacy Practices (pdf)

Download

For Medicare Patients Only

If you have Medicare, please complete the Medicare Private Contract (below) in addition to completing the New Patient forms and reading the Privacy Practices above.

Medicare Private Contract (pdf)

Download

Copyright © 2020 Parakletos Osteopathic Clinic - All Rights Reserved.

Phone: (970) 480-0111

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Welcome!

Parakletos Osteopathic Clinic has a new look!