Neuropsychology Forms
For ALL Neuropsychology patients, please complete and return the following forms.
You can return via fax (303-952-4396) or mail. Your providers would appreciate having these forms returned for review prior to your scheduled appointment date.
Colorado Patient Rights Information
For Children, Parents please complete: Child Health and Developmental History
For Adults: Neuropsych Adult History Form
For patients NEW to the Blue Sky Neurology Clinic, please complete and return the following clinic-wide forms. You can bring these with you to your appointment. If you have already been seen by a provider at Blue Sky Neurology, you do not need to complete these forms again:
Consent, Payment Policy and Payment Agreement
Message Authorization and Acknowledgement of Notice of Privacy Practices
Patient Portal Email Authorization
If you would like to authorize the use or disclosure of your Protected Health Information (PHI) to a particular person or entity, please use the form below.
Authorization for Use/Disclosure of Protected Health Information
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