Primary Care New Patient Forms

Primary Care at Pagosa Springs Medical Center is designed to take care of your entire family. Our family practitioners deliver a range of acute, chronic and preventive medical care services. Primary Care is open Monday- Friday 7:00am – 5pm. We offer same day appointments for acute care and accept walk-ins on Saturday from 8am -4pm.  We want our patients to live a healthy and active life, so in addition to diagnosing and treating illness, we provide recommended preventative care, checkups, immunization so you can maintain a healthy lifestyle.


Patient Forms

If you are looking to establish care with one of our Primary Care multi-disciplinary healthcare professionals.

Please download and complete the forms listed below to help save time at your appointment.

New Adult Patient – English

New Adult Patient – Spanish

New Pediatric Patient – English

New Pediatric Patient – Spanish

Medicare Annual Wellness Visit

We accept Medicare, Medicaid, CHP+, Veterans Choice, commercial insurance, and we offer a sliding fee scale for under-insured and non-insured patients. To qualify for the sliding fee services, you will complete a brief application along with income documentation and a statement of the number of people residing in your home. Please visit our Financial Assistance and Charity Policy page for more information.  We also accept New Mexico Medicaid.

For your appointments please remember to:

  • Bring a current list of medications including non-prescription medications
  • Bring your photo ID and insurance card
  • Arrive 15 minutes prior to your appointment
  • Make arrangements to make your co-pay for your visit


To make an appointment with Primary Care at Pagosa Springs Medical Center dial 970.731.3700 to speak with a scheduler.

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