Contact Information
770 East 2nd Street, Casper, WY 82601
Phone: (307) 237-5510
Fax:
(307) 237-0607
BUSINESS HOURS
Monday to Thursday: 8:00am to 5:00pm
Friday: 8:00am to 12:00pm
Saturday and Sunday: Closed
Patient Forms
New Patient History Form
Patient Registration Form
Release of Records to CWC
Notice of Privacy Practices
Pharmacy Information
Consent for Disclosure
Patient Release of Info
The Difference Between Race and Ethnicity
Annual Registration Update
Release of Records
Review of Systems
New Patient Packet
Yearly Update Packet
Medicaid Telehealth Consent
General Telemed Consent
Care and Exceptional Women's Health Services That Puts Your Health Into Your Hands
Contact Information
770 East 2nd Street, Casper, WY 82601
Phone: (307) 237-5510
Fax:
(307) 237-0607
Business Hours
Monday to Thursday: 8:30am to 4:30pm
Friday, Saturday, and Sunday: Closed
