WHAT'S NEW AT THE STEADMAN HAWKINS CLINIC DENVER?

CLICK ON "In the News, Sports Performance, & Research" to get the latest SHCD information.

WHAT'S NEW AT THE STEADMAN HAWKINS CLINIC DENVER?

CLICK ON "In the News, Sports Performance, & Research" to get the latest SHCD information.

Patient Forms

Below are patient forms you can download, print, fill out by hand and bring in to your next office visit. You can locate the right forms listed by doctor and click on the links to download.

Please note: It may take a few minutes to load the forms if you are using a dial-up Internet Connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.

Martin Boublik, MD

• Registration and Health History Form
• Elbow History Form
• Hip History Form
• Knee History Form
• Shoulder History Form 

Theodore Schlegel, MD

• Elbow & Shoulder History Form
• General History Form
• Knee History Form

Tom Noonan, MD

• New Patient Packet

James Genuario, MD

• Health Questionnaire 
• Patient History Form

Jennifer Kummer, MD

• New Patient Packet

John Shank, MD

• New Patient Packet

General Forms

• Confidential Communication Form
• Patient Financial Responsibility Form
• SHCD Notice of Privacy Practices
• Acknowledgement of Notice of Privacy Practices
• Medical Records Release Form

Medical Records Request Form

You may request your medical records by completing our secure medical records request form. Please note it may take up to five business days to receive your records. Click here to access the secure form.

Patient Forms

Below are patient forms you can download, print, fill out by hand and bring in to your next office visit. You can locate the right forms listed by doctor and click on the links to download.

Please note: It may take a few minutes to load the forms if you are using a dial-up Internet Connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.

Martin Boublik, MD

• Registration and Health History Form
• Elbow History Form
• Hip History Form
• Knee History Form
• Shoulder History Form 

Theodore Schlegel, MD

• Elbow & Shoulder History Form
• General History Form
• Knee History Form

Tom Noonan, MD

• New Patient Packet

James Genuario, MD

• Health Questionnaire 
• Patient History Form

Jennifer Kummer, MD

• New Patient Packet

John Shank, MD

• New Patient Packet

General Forms

• Confidential Communication Form
• Patient Financial Responsibility Form
• SHCD Notice of Privacy Practices
• Acknowledgement of Notice of Privacy Practices
• Medical Records Release Form

Medical Records Request Form

You may request your medical records by completing our secure medical records request form. Please note it may take up to five business days to receive your records. Click here to access the secure form.