Resources

New Patient Forms (Online Submission)

PLEASE NOTE: You must currently be in our database AND web-enabled to access the Patient Portal.
If you are not, please contact our office at (970) 493-4660 or (970) 667-0769 to get set up.
Find directions on which forms to fill out and where to find them in the large ‘Welcome to Our Office’ box on your Dashboard (Home Page).

Patient Portal

New Patient Forms (Printable)

Click to download the document to view and print.  If you don’t have printing capabilities and would like to submit your New Patient Forms online, you will need to bypass this section and visit the Patient Portal section above.

New Patient Forms**
** This document requires Adobe Acrobat Reader be used to view, download, or print.

HIPAA Notice

Click to download the document to read.  You may print and keep for your records.

HIPAA Notice of Privacy Practices**
** This document requires Adobe Acrobat Reader be used to view, download, or print.

Record Release Forms

Click to download the form(s) you need. To submit, please type directly on the form(s), print out and bring them into either office or fax.

Request Records or X-Rays from another office**

Release Records or X-Rays to third party**

** These documents require Adobe Acrobat Reader be used to view, download, or print.

Financing Information

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We also offer CareCredit if you don’t have the means to pay for your treatment. CareCredit® is a personal line of credit for healthcare treatments and procedures for your entire family, including your pets. It works like a credit card but it has two advantages. It can only be used for healthcare services and you can get No Interest financing every time you use it.

Simply pay your minimum monthly payment and pay off the entire balance by the end of your promotional period and you pay No Interest or finance for a longer period of time with interest. Just click CareCredit® above to be taken to their website.

Community

Realities For Children Logo
We are proud Business Members of Realities for Children.  Any time you choose A Step Ahead Foot and Ankle Center, you are helping neglected and abused children in the community of Northern Colorado.