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More Information

Medical Record & Other Forms

General Health History for Doctor’s Appointments

We have you fill this out when you come in for a “new patient appointment” at the Orthopaedic & Spine Center of the Rockies — or if your last appointment with one of our doctors was more than a year ago.

 

Your Medical Records

Fort Collins, Greeley, & Loveland

Contact our release of information coordinator at 970-419-7015 or call 1-800-722-7441 and ask for medical records.

If we have your records, we will ask you to sign and date a consent form for us.

  • Fax Contact: 970-493-0521

Frederick, Lafayette, & Longmont

Contact our release of information coordinator at 303-772-1600 and ask for medical records.

If we have your records, we will ask you to sign and date a consent form for us.

  • Fax Contact: 303-772-9317

General Medical Records Information

If you want us to send a copy of the records to you, leave the physician section blank or write “patient” or “self” in that space.

We keep patients’ charts for about 8 years; it is possible we no longer have your records.

If you had surgery at an area hospital, the hospital may have your chart. Check with the hospital medical records department. If your file is still available, you will need to sign a release form for the hospital.

 

Spine Health History Form

This form below is ONLY for those who have an appointment with Dr. Robert Benz MD or Dr. Bill Biggs MD for a spine or back/neck condition.

Patient Spine Health History Form