New Patient Paperwork Centennial, CO
- Complete It Before You Arrive
- Secure Online Intake Form
- A Few Minutes to Fill In
Filling the paperwork out at home saves time at the front desk and gives Dr. Tony Nicholas a head start on your history before you walk in. It takes a few minutes.
The form below is secure and goes straight to the Centennial office. If you would rather complete it in person, arrive about fifteen minutes early and the front desk will hand you a tablet instead.
What to Bring to the First Visit
- Photo ID and your insurance card, if you are using insurance.
- Any imaging, reports or records from another provider that relate to the problem.
- A list of the medications and supplements you take regularly.
- For a crash, the claim number and adjuster details so auto accident care can be billed correctly.
New here? The new patients page explains what the first visit involves, current specials covers the $29 offer, and payment plans lists the options for care that insurance does not cover.