Home Locations Providers Services Careers Patient Portal More… OPEN SEARCH BAR Locations We have a provider on-call 24 hours a day, 7 days a week! Office hours: Monday - Friday: 7:30 AM to 5:00 PM Saturday: 8:00 AM to 5:00 PM Central Office 2520 W 16th Street, Greeley (970) 356-2520 Johnstown Office 473 Castle Pines Avenue, Johnstown (970) 587-7881 Cottonwood Office 2420 W 16th Street, Greeley (970) 353-7668 West Office 6801 W 20th St, Ste 101, Greeley (970) 378-8000 LOCATIONS Central Office 2520 W 16th Street Greeley, CO 80634 (970) 356-2520 Fax: (970) 356-6928 Cottonwood Office 2420 W 16th Street Greeley, CO 80634 (970) 353-7668 Fax: (970) 353-2801 Johnstown Office 473 Castle Pines Avenue Johnstown, CO 80534 (970) 587-7881 Fax: (970) 587-7738 West Office 6801 W 20th Street, Ste 101 Greeley, CO 80634 (970) 378-8000 Fax: (970) 378-8088 Careers Survey Patient Portal Healthwise Home Locations Providers Services Forms Copyright © 2021 Family Physicians of Greeley, PLLPTheme by SiteOrigin

Home Locations Providers Services Careers Patient Portal More… OPEN SEARCH BAR Forms Forms to bring to your visit Medicare Wellness Annual Visit For Medicare and Medicare Advantage patients coming in for their “Welcome to Medicare” visit or their Annual Wellness Visit. Patient Agenda Bring this simple form to every office visit. Our providers encourage patients to use this form because it makes it easier for you to communicate all your concerns at the beginning of the visit. New Patient History: Adult / Child Some providers may ask you to complete this form prior to your first visit. Privacy and consent forms Medical Records Release Complete this form to have your medical records transferred from another practice to FPG or from FPG to another practice. Consent to Release Information to Family Your privacy is important to us, so please tell us whether you permit us to share your health information with your family members, such as a spouse. Flu Vaccine Information and Release Please complete this in advance of receiving your annual flu vaccine. Advance Directives Advance Directives are legal documents that describe your wishes for your healthcare when you are unable to speak for yourself. This booklet describes the different types of Advance Directives and includes Colorado’s version of these forms. For a much briefer description of the types of Advance Directives, click here. Health screening forms ADHD Assessments: Parent Initial / Parent Follow-Up / Teacher Initial / Teacher Follow-Up Patient Health Questionnaire-9: PHQ-9 LOCATIONS Central Office 2520 W 16th Street Greeley, CO 80634 (970) 356-2520 Fax: (970) 356-6928 Cottonwood Office 2420 W 16th Street Greeley, CO 80634 (970) 353-7668 Fax: (970) 353-2801 Johnstown Office 473 Castle Pines Avenue Johnstown, CO 80534 (970) 587-7881 Fax: (970) 587-7738 West Office 6801 W 20th Street, Ste 101 Greeley, CO 80634 (970) 378-8000 Fax: (970) 378-8088 Careers Survey Patient Portal Healthwise Home Locations Providers Services Forms Copyright © 2021 Family Physicians of Greeley, PLLPTheme by SiteOrigin