All Valley-Wide medical, dental and behavioral health clinics are open and seeing patients. We also offer telehealth options for your healthcare needs. Please call 1-833-350-1113 to schedule an appointment.
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For Appointments Call 833-350-1113
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Patient Portal
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Patient Forms

New Patient Forms

English
Patient Information Form
VWHS Health History Form
Notice of Privacy Practices
Authorization for Release PHI
Authorization to Request PHI
Consent to Treat for Minor Form
Spanish
Formas de informacion al Paciente
Forma de la Historia de Salud
Aviso de Practicas de Privacidad
La autorizacion para revelar la PHI
Solicitar autorizacion para la PHI
Consentimiento Para Tratar a un Menor

Other Downloadable Forms

English
Nurse Family Partnership Referral Form
Authorization to Disclose PHI
Complete Transfer of Care Authorization
Unaccompanied Minor Form
Advance Directive for Mental Health
Colorado Medical Orders for Scope of Treatment (MOST) form
Spanish
Formulario Para Un Menor No Acompanado
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Main Office: 128 Market Street, Alamosa, CO 81101 | 719-587-1001
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Recognized by the American Heart Association (2020)

Accredited/Certified by
The Joint Commission.

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HRSA Health Center Program Operational Site Visit

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