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            Directions
            • Home
            • Our Physicians
            • Surgical Services
            • Patient Information

              Patient Information

              • Visitor Policy
              • Admissions
              • Billing & Insurance
              • Online Pre-Registration
              • Patient Forms
              • Patient Rights & Responsibilities
              • Pricing and Financial Information
              • Pay Bill Online
              • Frequently Asked Questions
              • Additional Information
              • Your Surgery
              • The DAISY Award
              • The BEE Award
              • Billing Process
            • Directions
            • Pre-Registration

              Pre-Registration

              • Pre-Registration
              • Preregistro
            • (303) 789-4000
            • About
            • Careers
            • Pay My Bill
            • HealthONE's Ambulatory Surgical Centers

            Patient Forms

            • Rocky Mountain Surgery Center /
            • Patient Information /
            • Patient Forms
            • Patient Information
            • Visitor Policy
            • Admissions
            • Billing & Insurance
            • Online Pre-Registration
            • Patient Forms
            • Patient Rights & Responsibilities
            • Pricing and Financial Information
            • Pay Bill Online
            • Frequently Asked Questions
            • Additional Information
            • Your Surgery
            • The DAISY Award
            • The BEE Award
            • Billing Process

            Patient registration forms

            If you are a new patient, please fill out the forms listed below in advance of your appointment to assist the staff in making sure that we have all the information necessary to provide you with quality care and treatment. Please bring the completed forms with you to your appointment.

            Registration Forms

            • Online Pre-Registration
            • Preregistro En Línea
            • Medical Records Release
            • Patient HIPAA Acknowledgment & Disclosure Consent (printable) — complete this form
            Rocky Mountain Surgery Center
            Address

            401 West Hampden Place
            Suite 100
            Englewood, CO 80111

            Telephone: (303) 789-4000


            Contact

            Rocky Mountain Surgery Center
            401 West Hampden Place
            Suite 100
            Englewood, CO 80111

            Telephone: (303) 789-4000

            For Professionals
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            • Provider Verification
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            Copyright 1999-2025 C-HCA, Inc.; All rights reserved.
            Notice of Privacy Practices | Terms & Conditions | California Notice at Collection | Privacy Policy
            Social Media Policy | Acceptable Use Policy | HCA Nondiscrimination Notice
            Surprise Billing Protections | Cookie Preferences | Right to Receive Estimate | Accessibility | Disclosures