Call Us: (303) 666-7119
1044 S. 88th St. #200
Louisville, CO 80027

New Patient Information

Welcome to Coal Creek Family Medicine, as a New Patient we have a few forms for you to print, complete and bring in for your first appointment with our Practice. The following three forms are required.

We also have a Medical Records Release form for you to complete if you would like to have your Medical Records sent to our Practice.

Things to remember for your first appointment with Coal Creek Family Medicine

  • Please arrive 15 minutes prior to your appointment
  • Things to bring with you:
    • Driver’s license, passport, or other forms of legal photo ID
    • Insurance Card or a copy of the front and back
  • A copy of your Medical Records and Medication List, or any other pertinent medical documentation, if you have them


If you have any questions, please call Coal Creek Family Medicine at 303-666-7119