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Patient Forms


The forms on this page are available for download ONLY.
You may print these forms and mail them in to:

Colorado Pulmonary Intensivists, Inc.
15 W. Dry Creek Circle
Littleton, CO 80120

To fill out and submit these forms online, you must first
log in to the Patient Portal.

Links open in a new window:
• Registration, Health History, Berlin Questionnaire, and Privacy Practices Information (pdf)
• Sleep Study Questionnaire (pdf)
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Colorado Pulmonary Intensivists, PC
15 West Dry Creek Circle, Littleton, CO 80120
Office 303-952-1100 / Fax 303-952-8185
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