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Community Hospital's Procedure Center strives to provide excellent patient care. Please note that a patient must have a referral before being seen in the Procedure Center. For more information regarding referrals or order forms, please call (970) 644-3319. To fax a form over, please fax (970) 644-3348.

Order Forms

Please note that Procedure Center treatments and services are by appointment only. All orders must have a prior authorization in place before an appointment can be scheduled. The Procedure Center is unable to provide prior authorization services at this time. Thank you!

Anaphylaxis Protocol (Adult)

Blood Consent Form

Community Hospital Formulary

Drug Shortages

Esophageal Manometry Order Form

Formulary Request Form

Hypersensitivity Protocol (Adult)

Outpatient Blood Transfusion Order Form

Outpatient Infusion Guidelines

Outpatient Vascular Access Form

Remdesivir Adult Fact Sheet

Remdesivir Outpatient Eligibility Criteria

Remdesivir Outpatient Order Form

Standard Outpatient Infusion Order Form

Therapeutic Phlebotomy Order Form

Wound Care Referral Form