Patient Paperwork

Click on the PDF next to the paperwork you've been asked to complete by our staff.  Please print, fill out completely and bring it with you to your next appointment. If you need assistance, please contact our office. 970-242-9127

1. Patient Confidential Information
2. Confidential Medical History
3. Medication Record

If you are a patient seeing Dr. Merkel or one of our aestheticians, please complete forms 1, 2 and 3.

 

If you are seeing our hormone replacement specialist, please complete all forms, 1-4.  

4. Hormone Replacement Therapy Paperwork