call: 801.328.1260

alpinemedicalgroup


Existing Patients

Patient Portal

If you would like access to your records or to make a payment against your current medical bill, please use our Patient Portal. (Link)

Make/Cancel Appointments Online

Click on the button below to schedule a new appointment or cancel an existing appointment.

Scheduling is only for follow-up appointments and same-day urgent care appointments. Same day urgent care is for existing patients only (excluding Dr. Ahn and Dr. Hanlon). If you haven’t been seen in our office for over a year, or if you are a new patient, please call the office at 801.328.1260 to schedule a physical. Thank you!

This brief questionnaire will help you determine whether you should be further evaluated for either Hereditary Breast and Ovarian Cancer syndrome or Lynch syndrome. On average, the quiz takes less than one minute to complete.

Forms

You may download and print the forms below. Please bring the completed forms with you to the visit or fax them to us before your appointment. This will help with the check-in process. All of our forms are in pdf format, which you can read using Adobe Reader

Returning Patient Form (Form)

If you are a returning patient, save time by filling out this form ahead of time and bring it in with you for your appointment.

Authorization To Release And/Or Receive Protected Health Information Form (Form)

This form allows Alpine Medical Group to release and/or receive protected health information. Completion of this form is voluntary.

Medicare Wellness Visit: Health Risk Assessment Form (Form)

This form is a medicare wellness visit form. If your visit is a Medicare Wellness Visit, save time by filling out this form ahead of time and bring it in with you for your appointment.