New Patient Paperwork

Blackwood Health Center offers our patient form(s) online so they can be completed in the convenience of your own home or office.

  • All forms are PDF files. You will need AdobeReader® to view them.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form(s), print them out and fill in the required information.
  • Bring the necessary form(s) to your appointment.
Click to Download
New Patient Intake Form
Click to Download
HIPPA Form
Click to Download
Informed Consent Form
Click to Download
Patient Symptom Survey
Click to Download
Daily Food Log
OFFICE HOURS

Monday
7:00am - 12:00pm

Tuesday
7:00am - 10:00am
2:30pm - 6:00pm

Wednesday
7:00am - 12:00pm

Thursday
7:00am - 10:00am
2:30pm - 6:00pm

Friday
7:00am - 12:00pm

Saturday
Closed

Blackwood Health Center
11425 Black Forest Road #1
Colorado Springs, CO 80908
(719) 533-1100