New Patient Paperwork

Before your first visit, you may print and complete your new patient forms.  New patients may want to print and fill out a Medical Records Release Form to have records sent from their previous Doctor. Bring the completed forms with you to your first visit.

We look forward to meeting you!

Our Providers
Show More
Make an Appointment

560 Crystola St.
Calhan, CO 80808


Tel: 719-347-0100

Fax: 719-347-0851


© 2014 by Eastern Plains Medical Clinc proudly created with