Choose the appropriate form from the list below.

If you are a new patient, be sure to bring your completed forms, insurance information and a photo ID to expedite the registration process.  

Questions? Call us at 303.398.1355.


Medical Records Release/HIPAA Forms

Medical records can be accessed online through your My National Jewish Health patient portal account.

Learn more


New Patient Forms

Please print, complete and fax New Patient Forms to 303.398.1211 ahead of time so we can be better prepared for your visit. If you are unable to fax, please bring it to your visit.

All new patients need to complete the Adult New Patient Questionnaire prior to their appointment.


Follow Up Visit Forms

Please print, complete and bring applicable follow-up forms to your visit. It is not necessary to provide these ahead of time.