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Patient Portal
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Health Forms

New Counseling Patient Forms

Download these forms for new counseling patients

  • CWC Disclosure
  • CWC Privacy Practices pdf
  • CWC Financial Policy pdf
  • CWC Credit Card Authorization pdf
  • CWC Minor Authorization pdf

 


New Patient Forms

Download these forms for new patients

 

  • Health Survey pdf
  • New Patient Registration.pdf
  • Online Consent Form pdf
  • Minor Authorization pdf
  • Financial Policy pdf
  • PHI Disclosure.pdf

 


Other Health Forms

Download these forms only if needed for your visit.

  • Record Release pdf
  • Minor Authorization pdf
  • PHI Disclosure.pdf

 

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Address:
10259 S. Parker Road, Suite 200
Parker, Colorado 80134-9106

Phone: 303-805-2273

Fax: 303-805-2287

Follow Us

Regular Hours :

Monday – Thursday:  7:00 A.M. – 6:00 P.M.
Friday:  7:00 A.M. – 5:00 P.M.

Closed for lunch every day from 12:00 P.M. – 1:00 P.M.
Closed on Mondays from 12:00 P.M. – 1:30 P.M. and on the first Monday of each month from 12:00 P.M. – 2:00 P.M.

Parker Family Care Observes the following holidays:

  • New Years Day
  • Memorial Day
  • Fourth Of July
  • Labor Day
  • Thanksgiving
  • Black Friday
  • Christmas Day

 

ATTENTION PFC PATIENTS:  Out of respect to our other patients, we reserve the right to cancel/reschedule your appointment if you are more than 10 minutes late for your appointment.

2025 © Parker Family Care. All Rights Reserved

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