Patient Forms


New Patient Registration Packet (pdf)

The Homeplace HIPAA Notice of Privacy Practices Updated June 2023 (pdf)

The Homeplace NSA Notice (pdf)

Activator FAQs (pdf)

Our Location

Address

809 30th Ave. #2,
Greeley, CO 80634

Phone

(970) 673-8486

Contact Us

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Please do not submit any Protected Health Information (PHI).

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    Monday  

    8 AM - 6 PM

    Tuesday  

    8 AM - 6 PM

    Wednesday  

    Closed

    Thursday  

    8 AM - 6 PM

    Friday  

    Closed

    Saturday  

    Closed

    Sunday  

    Closed

    809 30th Ave. #2

    Greeley, CO 80634

    (970) 673-8486