Important Patient Documents

If you are a new patient, please fill out the registration forms listed below in advance of your appointment to assist the staff in making sure that we have all the information necessary to provide you with quality care and treatment. Please bring the completed forms with you to your appointment.

Vail Health Patient Portal

The Vail Health Patient Portal is a secure online website that gives you convenient, 24-hour access to personal health information.

Medicaid, Medicare & Most Major Health Insurances Accepted


Contact our Insurance Support Team by phone (970) 777-2902, Monday through Friday, 8:00 AM-4:30 PM for questions regarding insurance.

Vail Health accepts Medicaid, Medicare and most major health insurances. When choosing health insurance, make sure it includes your local providers. Prior to your visit we can also help you estimate your cost of care for anticipated hospital services and procedures. Financial assistance through Vail Health is also available.

Every health insurance plan has a network of providers. If a doctor, hospital, laboratory or pharmacy is not in your plan’s network, you’ll pay more for your care.

Vail Health submits bills to the patient's insurance company when complete information is supplied. Please remember that your policy is a contract between you and your insurance company, and you have the final responsibility for payment of your hospital bill. If your insurance company does not pay within 45 days of billing, please contact them to resolve the delay. Secondary insurance is billed after the primary insurance pays.

BlueCross BlueShield Logo
Cigna Health Insurance Logo
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Medicare/Medicaid CMS Logo

Patient Rights & Privacy Practices

To report a problem contact our Compliance & Privacy Hotline at (888) 495-4151 or report a problem online.

Vail Health makes every effort to provide a foundation for understanding and respecting the rights of patients and their families. We provide care that is sensitive to cultural, racial, religious or other differences. We do not discriminate based on race, color, creed, religion, age, sex, sexual orientation, national origin, disability or source of payment. We respond to reasonable requests for treatment and to each person's health care needs. Our response depends on the urgency of each situation and our ability to provide the kind of treatment the patient may require.

We ask that patients participate in decisions about their health care by talking with caregivers and taking an active role in planning their care. This helps ensure the care our patients receive preserves their dignity and reflects their desires and values. A designated surrogate or proxy decision-maker may exercise these rights on the patient’s behalf if the patient lacks decision-making capacity, is legally incompetent or is a minor. Interpreter assistance is available at no cost to patients and/or their family when patients receive services provided by the hospital.

Dr. David W. Ford with patient

Considerate & Respectful Care

  • Fair, high-quality, safe, and professional care
  • Care regardless of color, race, religion, creed, etc.
  • Consideration, respect, and recognition of you and your individuality
  • Treatment privacy Safe environment Ask for (except in emergencies) a person of the same sex to be available for any part of an exam, treatment, or procedures performed by a person of the opposite sex
  • Not be undressed any longer than needed for the exam, test, procedure, or other reason
  • Private and discreet consultation, exam, and care. See Notice of Privacy Practices (NOPP) for the full list of privacy and security of health information/medical record rights
  • To wear appropriate personal clothing and religious or other symbolic items, as long as they do not interfere with your treatment or diagnostic procedures

Health Status & Care
  • Be informed of your health status in terms and/or language that you, your family, and caregivers can be expected to understand
  • Take part and be active in your care and treatment plan
  • Participate in decisions in your care, unless your doctors or others believe it is harmful to you
  • Know, be told, and understand:
    • The names, roles, and qualifications of your health care experts that provide your care
    • Your follow-up care
    • Risks, benefits, and side effects of all medicines and treatment procedures for your diagnoses
    • Innovative or experimental medicines and treatment procedures of diagnosis offered
    • Alternative treatment options offered
    • Your procedure and to “give informed consent” before it begins
    • Possible outcomes of your care and treatment
    • The assessment and management of your pain
  • When and if the Practice recommends other health care institutions:
    • To participate in your care
    • To know who these other health care places are and what they will do
    • To refuse their care
  • Get help from the doctor and others for follow-up care, if available
  • To change providers or get a second opinion, including specialists at your request and expense

Access to Services

  • Receive free services of a translator, interpreter, or other necessary services or devices to help you communicate with the Practice in a timely manner (i.e. qualified interpreters, written information in other format or languages, etc.)
  • Bring a service animal except where prohibited pursuant to Practice policy
  • Have access to our facility buildings and grounds in compliance with The Americans with Disabilities Act, a law that stops discrimination against people with disabilities. The ADA policy is available upon request
  • A prompt and reasonable response to questions and requests for service

Decision Making & Notification

  • Choose a person to be your health care representative or decision-maker
  • Exclude those you do not want help from or to join in your care or decisions
  • Ask for, but not have the right to demand, services the Practice does not think are needed or appropriate
  • Refuse treatment
  • Be included in experimental research only with your written consent
  • Refuse experimental research including new drug and medical device investigations
  • Receive the information necessary to approve a treatment or procedure
  • Give consent to a procedure or treatment

Ethical Decision

  • Talk to and join in with your doctor about:
    • conflict resolutions
    • withholding resuscitative services
    • foregoing or withdrawing life-sustaining care
    • investigational study or clinical trials
  • Know that if your health care expert decides your refusal to accept treatment prevents you from getting the right care (as stated by its ethical and professional standards), it can end the relationship