Patient Forms from AWHC

Patient Information


A Woman’s Healing Center participates with most local and national insurance plansClick here for a listing of insurance plans we accept.

You will need to present your insurance card at each appointment. If your insurance has changed since your last appointment, please be sure to let us know when you check in.

If your insurance requires you to use a specific network, you will want to verify this prior to your appointment.

Please call our business department if you have any questions at 970-419-1111 [option 3].


Co-pays must be paid to the receptionist at the time of check-in. It is your responsibility to know which services are covered and require co-pays.


Some insurance companies require you to have a referral to see a specialist. Make sure you are familiar with your insurance plan referral policy prior to your visit. Only your primary care provider can issue a written medical referral.


All health care providers bill for services using billing codes. These codes tell the insurance company what was done and why. It is not uncommon for patients in the course of a visit to receive treatment for a problem and routine services. When this occurs, we are required to charge for both services.


Call your pharmacy first, and they will contact our office to coordinate refills.

To ensure that you have an adequate supply of prescription medication, please plan ahead as it can take up to 48 hours to complete a refill.

If you encounter difficulties, please call 970-419-1111 [option 2] to speak to a nurse to during normal hours. After hours and on weekends you will get our answering service.

New Patient Forms

We ask new patients to please complete the Medical History and New Patient Information forms below prior to your appointment in order to save you office time and help us better understand your medical history and needs. We have tried to keep them as simple as possible for your convenience.

New Patient Medical History (Online)
New Patient Medical History (.pdf)
New Patient Information (.pdf)
Medical Release to AWHC (.pdf)
Medical Release from AWHC (.pdf)

Trying to Make a Payment

Visit our online payment portal for a fast and convenient way to pay your bill, or cal us at (970) 419-1111.

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