OUR MODIFIED HOURS ARE: Monday: 8am-6pm | Tuesday: 8am-6pm | Wednesday: 8am-5pm | Thursday: 8am-6pm | Friday: 8am-5pm (719) 630-1006

Forms

Want to save time during your visit with us? The following forms and corresponding instructions have been provided for your convenience. All forms can be completed online or printed out and completed by hand. Be sure to bring a copy of the completed form(s) to your scheduled appointment.

We recommend completing all forms for your initial visit prior to arrival. All new patients need to complete the Patient Registration form.

If you are completing your forms online, Please download the form packet, fill out all forms completely, save them as [your name] – registration packet, then email them to info@summitmedicalclinic.com

If you have any questions or concerns, please contact our team.

Patient Portal

Existing patients can enter our Patient Portal to review upcoming appointments, appointment history and view their health records.

Patient Resources

Helpful links on healthcare financial assistance and patient education. 

Financial Assistance

Prescription Assistance Program

 

Patient Education Resources

National Kidney Foundation

American Diabetes Association

Chronic Obstructive Lung Disease

National Institute of Mental Health

Other

American Medical ID

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