To establish care with any provider in the Southwest Medical Group, you must first submit your new patient packet. This is to address the urgency of your needs and pair you with the right provider. Please click the links below to download the appropriate form.
Print it, fill out the forms, and deliver them to our New Patient Coordinator at 1311-A North Mildred Road in the medical office building on the Southwest Memorial Hospital Campus. You can also email it to Brandice Farley, at firstname.lastname@example.org, mail it to us, or fax the paperwork to 970-564-2019.