Please do not send sensitive personal information through this form. It is not a secure or private channel, and it is not part of your medical record.

That means no dates of birth, Social Security numbers, driver's license numbers, insurance or financial account numbers, and no detailed medical history, test results or medication lists. A general description of what you need is enough for us to reach out.

If your question requires any of that information, please call our office at 719-275-1618 instead.