Patient Forms
New patients at Rocky Mountain Infectious Diseases need to fill out the following forms. To speed up your initial appointment, you can fill out and submit the information online or print and fax the completed forms to (307) 234-8750 prior to your visit.
Patient Registration
Patient Insurance
Authorization to Release Medical Information
Informed Consent for Telehealth Services
Travel Questionaire
Charity Forms
Infusion Consent
Clinical Intake
Advance Beneficiary Notice of Noncoverage
Download the Zoom app
Make an Appointment Today
To ask questions or schedule an appointment with a provider, please call us at (307) 234-8700 or send us a message through the contact form.