Medical Forms

For your convenience, we provide standard medical forms that can be filled out online or downloaded, printed and filled out before coming in for your appointment. For forms that have online submission capabilities, an "Online Form" button will display next to the "Download Form" button. Thank you for choosing Conifer Medical Center for your healthcare needs.

Administrative Forms

HIPAA Privacy Policy

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Patient Information and Privacy Policy Acknowledgement

Online Form Download Form

Request For A Copy Of Your Medical Records

Online Form Download Form

Child Development Forms

2 Month Well Child Checkup

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4 Month Well Child Checkup

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6 Month Well Child Checkup

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12 Month Well Child Checkup

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18 Month Well Child Checkup

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24 Month Well Child Checkup

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36 Month Well Child Checkup

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48 Month Well Child Checkup

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60 Month Well Child Checkup

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Learn more about who can currently sign up and how, for the Covid vaccination.
Covid Vaccination Information
Click Here For Information
Learn more about who can currently sign up and how, for the Covid vaccination.
Covid Vaccination Information
Click Here For Information
COVID-19
Updates and Announcements

Conifer Medical Center has received a limited supply of COVID-19 vaccine. If you meet the state guidelines to receive the vaccine, please use the following link to register.

If you are experiencing COVID-19 (or similar) symptoms, please call our office at (303) 647-5300 and we would be happy to assist you in scheduling a TeleHealth visit.
More Information

(visit: covid19.colorado.org)

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COVID-19

Conifer Medical Center has the COVID-19 vaccine. If you meet the state guidelines, please use the following link to register.

If you are experiencing COVID-19 symptoms, please call our office at (303) 647-5300 for assistance in scheduling a TeleHealth visit.

More Information

(visit: covid19.colorado.org)

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Conifer Medical Center is devoted to the care of our community. Currently we are offering TeleHealth Visits and limited office visits with providers 6 days a week (call for hours). Please call the office at 303-647-5300 and we will be happy to discuss if you are appropriate for an “in-office” visit vs a Televisit.

If you are experiencing COVID-19 (or similar) symptoms, please call our office at (303) 647-5300 and we would be happy to talk with you over the phone. Please do not come to the office as we are not testing for COVID-19 (Coronavirus).

Thank you for your understanding, and we wish everyone well.
Conifer Medical Center is devoted to the care of our community. Currently we are offering TeleHealth Visits and limited office visits with providers 6 days a week (call for hours). Please call the office at 303-647-5300 and we will be happy to discuss if you are appropriate for an “in-office” visit vs a Televisit.

If you are experiencing COVID-19 (or similar) symptoms, please call our office at (303) 647-5300 and we would be happy to talk with you over the phone. Please do not come to the office as we are not testing for COVID-19 (Coronavirus).

Thank you for your understanding, and we wish everyone well.
Conifer Medical Center’s
8th Annual Health in the Hills
WHEN: Saturday, September 21, 2019
8 am to 11am
WHERE: 26659 Pleasant Park Rd., Conifer, Colorado
Lab Tests Offered:

Comprehensive Metabolic Panel   $10.00
Lipid panel                                              $20.00
Hemoglobin A1c                                    $12.00
Vitamin D                                                 $40.00
Thyroid-stimulating hormone       $15.00
Prostate-specific antigen               $15.00
Complete Blood Count                      $10.00
Conifer Medical Center’s
8th Annual Health in the Hills
WHEN: Saturday, September 21, 2019
8 am to 11am
WHERE: 26659 Pleasant Park Rd., Conifer, Colorado
Lab Tests Offered:

Comprehensive Metabolic Panel   $10.00
Lipid panel                                              $20.00
Hemoglobin A1c                                    $12.00
Vitamin D                                                 $40.00
Thyroid-stimulating hormone       $15.00
Prostate-specific antigen               $15.00
Complete Blood Count                      $10.00