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Phone: 303-870-6845

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Patient Forms

Please feel free to print these forms at home and fill them out prior to your first visit to ensure that your wait is as short as possible.

Downloads:

Intake Form
Thank you for choosing Miriam
Financial Policy and Patient Agreement
Credit card Policy
Notice of Privacy Practices and Client Rights

Document Previews

Intake Form

Intake Form

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Thank you for choosing Miriam

Thank you for choosing Miriam

Open
Financial Policy and Patient Agreement

Financial Policy and Patient Agreement

Open
Credit card Policy

Credit card Policy

Open
Notice of Privacy Practices and Client Rights

Notice of Privacy Practices and Client Rights

Open

Contact Information

Phone: 303-870-6845

Email:VintonMiriam@gmail.com

Online Appointments Only

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Patient Information

We welcome clients Monday through Friday with office hours that accommodate busy schedules:

If you have an emergency, please dial 911 or go to your nearest emergency room for assistance.

FAQ | Privacy policy | Terms and conditions

Patient Forms
FAQs

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