Member Information

Welcome to your Member Information Page

Here you will find our important Member Information as well as our Patient Intake Form.  If you have any questions, please don’t hesitate to contact us!


Patient Intake Form

This Intake Form is for new patients of Cloud Medical Center. It includes info about our policies, HIPAA compliance, your medical history, and your family's medical history. We ask that you please complete it before your first appointment. As a convenience, you don't have to fill it out all at one time. You may choose "Save and Continue" (at bottom) to complete it at a time that suits your schedule. Sections that contain asterisks (*) are required. When completed, simply click the "SUBMIT" button at the end, and it will be sent securely to our office.
  • PATIENT DEMOGRAPHICS

    • Date Format: MM slash DD slash YYYY
  • Insurance Information

    • Date Format: MM slash DD slash YYYY
  • Emergency Contact

      • Date Format: MM slash DD slash YYYY

    For your convenience, here are the ways to contact us, and other important info about Cloud Medical Center.


    Normal Office Hours:

    8:00 am – 5:00 pm Monday – Thursday

    8:00 am – 2:00 pm on Friday

     

    Easy Phone Contact – Here’s How:

    Our main office number is (303) 848-3800

    For Dr. Tusek and Sheila Kupersmith, press 1, and for Dr. Tawa, press 2.  That’s it – easy!

    After normal business hours, our main number still answers your call, then immediately connects you to the on-call physician. This is NOT an answering service.  Isn’t that great?!

     

    Where in the world is my doctor?

    Dr. Tusek will see you at either our Peloton, City Club, or Prospect locations.
    Dr. Tawa will see you primarily at our Peloton location.

    Sheila Kupersmith, FNP-BC will see you primarily at our Prospect location.

     

    Who are all these nice people on the Cloud Medical Team?

    When you call Dr. Tusek’s team you will speak to either Melinda or Marissa.
    Dr. Tawa’s team includes Denise and Zen.

    These caring and supportive Cloud Medical personnel will greet you when you arrive for appointments, and will always help you with any administrative or clinical issues as well.  We look forward to assisting you with your healthcare goals!

    Cloud Medical - Longmont Office

    Prospect New Town
    2017 100 Year Party Ct
    Longmont, CO 80504

    Cloud Medical - Peloton Office

    Lofts at the Peloton
    3601 Arapahoe Ave Unit D176
    Boulder, CO 80303

    Cloud Medical - Highland City Club Office

    Highland City Club
    885 Arapahoe Ave
    Boulder, CO  80302

    Our 3 Locations

    Call Us: (303) 848-3800
    Longmont Fax: (303) 848-4910
    Boulder Fax: (720) 745-4820

    Boulder
    Lofts at the Peloton
    3601 Arapahoe Ave Unit D176
    Boulder, CO 80303

    (38th & Arapahoe)

    and

    Highland City Club
    885 Arapahoe Ave
    Boulder, CO  80302

    (9th & Arapahoe)

    Longmont
    Prospect New Town
    2017 100 Year Party Ct
    Longmont, CO 80504

    CONTACT US

    (303) 848-3800

    FOLLOW US