Clinic Forms
Referral Forms and New Patient Registration
This document is for non-workers compensation patient referrals to Brigid Medical, LLC from providers.
This document is for workers compensation patient referrals to Brigid Medical, LLC from workers compensation providers.
This document is necessary to register all new patients with Brigid Medical, LLC.
New Patient and Annual Patient Forms
This document is required for all patients starting care at Brigid Medical, LLC regardless of age.
This document contains important information on Brigid Medical, LLC practice policies and procedures.
This document is necessary for Brigid Medical, LLC to bill and receive payments from your insurance.
This document is necessary if you wish to have sessions from Brigid Medical, LLC not process through your insurance.
This document required for all patients 17 years of age or younger starting care at Brigid Medical, LLC.
This document contains important information regarding practice privacy practices for Brigid Medical, LLC in compliance with HIPAA and related regulations.
This document contains important information from Brigid Medical, LLC in compliance with the No Surprised Act or Colorado Out-of-Network Billing.
This document is a consent to locate records for care at Brigid Medical, LLC through an additional EHR system.
This document is an important in order for Brigid Medical, LLC to send medications to the pharmacy electronically and obtain medication history.
This document is necessary if you wish to have sessions from Brigid Medical, LLC by telemedicine.
Additional Patient Forms
This form is necessary for us to communicate with or release information to any outside parties. A separate form will be needed for each individual or practice you would like involved in your care.
This form is important for your healthcare team at Brigid Medical, LLC to help identify socioeconomic factors that may effect your healthcare.
This form is used for new patients and periodically for established patients to fully review current psychiatric symptoms.
This form is used for new patients and periodically for established patients to fully review current general symptoms that may contribute to psychiatric conditions.