New Patients

New Patient Information & Paperwork

Address: 1311-A North Mildred Road Cortez, CO 81321

Contact Information: Phone 970-516-1616 Fax 970-564-2019

NOTICE TO PATIENTS SEEKING TO ESTABLISH CARE

Thank you for choosing us as your healthcare provider. We look forward to providing an environment and provider relationship that meets your and/or your family’s medical needs.

We request you submit a new patient packet to establish care with Southwest Medical Group.  This allows us to promptly address your needs and match you with the best provider for your requirements.  If you encounter difficulties in submitting the packet, please contact the New Patient Coordinator for assistance.  Our dedicated New Patient Coordinator ensures personalized connections between patients and physicians or advanced practice providers.

Print it, fill out the forms, and deliver them to our New Patient Coordinator at 1311-A North Mildred Road in the medical office building on the Southwest Memorial Hospital Campus. You can also email it to Kelsey Cate, at newptcoordinator@swhealth.org, mail it to us, or fax the paperwork to 970-564-2019.

Scheduling is generally based on openings, however we are happy to check the availability of a specific provider request.  For urgent or emergent needs you may also be evaluated at our Walk-In Clinic or Emergency Department.

1. New Patient Packet – Adult (English) 
2. New Patient Packet – Adult (Spanish)
3. New Patient Packet – Child (English)
4. New Patient Packet – Child (Spanish)
5. OB Prenatal Packet
6. Gynecology Patient History Form
7. Request for Information Release

The New Patient Coordinator is for patients looking for a primary care provider only. Patients looking for a specialist, including OB/GYN should call or see those respective clinics. Learn more about our services and find contact information: http://www.swhealth.org/servicesdirectory

Thank you, and we welcome the opportunity to meet your healthcare needs. In the meantime, feel free to reach out to our New Patient Coordinator at 970-516-1616!

How soon should patients expect to get an appointment?

This depends on the provider they are looking to see, their age, and the urgency of their healthcare needs.

What are the different options for patients to return the New Patient Packet?

• Drop off in person with the New Patient Coordinator at 1311-A North Mildred Road in the medical office building on the Southwest Memorial Hospital Campus.
• Drop off in the drop box in the main lobby at 1311-A North Mildred Road in the medical office building on the Southwest Memorial Hospital Campus.
• Mail it in to SMG New Patient Coordinator: 1311-A North Mildred Road, Cortez, CO 81321
• Fax it to 970-564-2019