Aileen Higgins, M.D.
(720) 295-1805

​Colorado Crisis Line  (844) 493-8255

National Suicide and Crisis Lifeline   988 ​
  • Welcome
  • Treatment
  • Initial Visit
  • FAQ
  • Resources
  • Contact Info
  • Forms
  • Telemedicine

New Patient/Initial Visit Forms

New Patient Contact Information
File Size: 18 kb
File Type: docx
Download File

Medication List
File Size: 39 kb
File Type: pdf
Download File

Patient Health Questionnaire
File Size: 533 kb
File Type: pdf
Download File

HIPAA
File Size: 152 kb
File Type: pdf
Download File

Telemedicine Consent
File Size: 45 kb
File Type: pdf
Download File

Additional Forms
You do not need to fill these out unless specifically instructed to do so by Dr. Higgins

Epworth Sleepiness Scale
File Size: 18 kb
File Type: pdf
Download File

ASRS
File Size: 4446 kb
File Type: pdf
Download File


Severe Weather

Severe Weather Instructions
File Size: 19 kb
File Type: docx
Download File

Doxy.me Instructions
File Size: 619 kb
File Type: pdf
Download File


HIPAA Notice of Privacy Practices

HIPAA Notice of Privacy Practices
File Size: 4392 kb
File Type: pdf
Download File

Welcome

Initial Visit

Treatment

FAQ

Contact

Colorado Crisis Line 844-493-TALK (8255) or text TALK to 38255
     S
uicide and Crisis Lifeline call 988 or use website below to text 
​
 988lifeline.org/talk-to-someone-now/