Welcome to Dynamic Family Medicine in beautiful Colorado Springs! Dr. Jeremy Brown and his staff serve individuals and families all along the Front Range with high-quality medical care. Call us at 719-392-3883 today!

5715 Kittery Dr. Colorado Springs, CO 80911

Serving Colorado Springs & Surrounding Areas

719-392-3883 Patient Portal

Forms

PATIENT FORMS

Please read the documents below, then fill out & submit online for all new patients.

READ ONLY

Welcome Letter

HIPAA Privacy Acknowledgement

FILL OUT & SUBMIT ONLINE

Submit all 4 forms to complete registration

Demographics (Form 1 of 4)

Medical History (Form 2 of 4)

Financial Agreement (Form 3 of 4)

HIPPA Privacy Policy (Form 4 of 4)

Browse Our Website

Contact Information

Phone: 719-392-3883

Address: 5715 Kittery Dr. Colorado Springs, CO 80911

Business Hours

Mon - Fri: 8:15 AM - 11:30 AM, 1:15 PM - 4:30 PM

Dynamic Family Medicine does not accept Medicaid. We apologize for any inconvenience.

In accordance with the TRANSPARENCY IN HEALTH CARE PRICES ACT, you can view our prices by clicking here.