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.
- Patient General Health History Form
- Disability Form (Longmont, Lafayette, Westminster)
- Consent to Treat a Minor Form
OCR Longmont, Lafayette, Westminster Electronic Patient Intake System
- You will receive forms to complete prior to the visit via text link.
- You may either complete the intake on your phone or copy and paste the link to complete it on a tablet or computer.
- We kindly ask that you complete these forms in a timely manner after you receive the text link.
Your Medical Records
General Medical Records Information
We will ask you to fill out, sign and date a release form for us if you are requesting records for yourself or requesting your records to be sent elsewhere.
Requests are processed in the order received and will generally take 3-5 business days.
If you were seen more than 8 years ago, it is possible we no longer have your records.
If you had surgery at an area hospital, the hospital may have your chart. Please check with the hospital’s medical records department. If your file is still available, you will need to submit a request through the hospital.
Fort Collins, Greeley, & Loveland Medical Records Contacts
Contact our release of information coordinator at 970-419-7015 or call 1-800-722-7441 and ask for medical records.
- Phone: 970.419.7015 or 1.800.722.7441
- Fax: 970.493.0521
- Email: ROI@orthohealth.com
Longmont, Lafayette, Westminster Medical Records Contacts
- Phone: 303.772.1600
- Fax: 303.772.9317
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.
