FILL THIS FORM OUT ONLY IF YOU HAVE CHANGES TO YOUR CURRENT MEDICAL HISTORY ON FILE. PLEASE ENTER YOUR NAME AS IT CURRENTLY APPEARS ON OUR RECORDS, THEN FILL OUT ONLY THE NEW INFORMATION BELOW. QUESTIONS? PLEASE CALL 719-488-2292.
• To create meaningful, long lasting relationships with love, empathy and compassion. • To preserve integrity with steadfast moral character, ethical principles and resounding honesty. • To provide everyone with the opportunity to make life changing decisions that encourage personal freedom and joy.