Follow My Health Patient Portal | 501 Airport Road, Rifle, Colorado 81650 | 970-625-1510 | Contact Information Facebook Twitter YouTube

All forms are in Downloadable Printable PDF format

 

Grand River Health Medical Records (Health Information Management)

Release of Medical Information

Fax  to 970.625.2752

Phone: 970.625.6412

 

 

Grand River Clinics

Print and Fill out and bring with you to your first appointment.

English
Spanish
  1. Clinic New Patient Forms Spanish
  2. HIPAA Spanish
  3. Clinic Med Red Release Spanish
  4. Gynecology New Patient Forms Spanish
  5. Dr Krauth New Patient Forms Spanish
  6. General Surgery New Patient Form Spanish
  7. Child History Questionaire Spanish
  8. Orthopedic New Patient Forms Spanish
  9. ENT-Intake form Spanish
  10. Womens Health Questionnaire Spanish
  11. Consent to Treat a Minor Spanish
  12. Mens Health Questionnaire Spanish
  13. CIIS Questions Spanish
  14. Caputo Wound Care Spanish 

Upcoming Grand River Events

  1. Rifle, Let’s Do Lunch!

    March 30 @ 10:45 am - 1:00 pm

  2. New Moms Support Group

    April 4 @ 10:00 am - 12:00 pm

  3. Grand River Gallop

    April 7 @ 7:00 am - 10:00 am

  4. 9Health Fair

    April 14 @ 7:00 am - 11:00 am

  5. Bariatric Support Group

    April 17 @ 5:30 pm - 7:00 pm

View All Events

Grand River News

Request for Qualifications & Proposal

click here to View RFQ

501 Airport Road Rifle, Colorado 81650 | 970.625.1510 | Follow My Health Patient Portal | Privacy Information | Información de privacidad