Lyric Patient Interest Form Please fill out the form below or call us. We will get in touch with you soon. 720-259-9962 "*" indicates required fields Preferred Location* CO - Centennial - 15450 E Orchard Rd CO - Westminster - 12001 Tejon St CO - Denver/Cherry Creek - 55 Madison St AZ - Mesa - 4824 East Baseline Rd CO - Fort Collins - 4703 E Boardwalk Dr AZ - Peoria - 16155 N 83rd Ave CO - Golden - 1030 Johnson Rd AZ - Scottsdale - 11333 N Scottsdale Rd CO - Highlands Ranch - 200 Plaza Drive What is the purpose of your appointment?* I want to experience Lyric for the first time. I am looking for a new Lyric Provider. (Lyric Transfer of Care) Lyric Transfer of Care ExplanationFor patients who live in Colorado and Arizona (or just moved here) looking for a new Lyric provider to take care of them. This means that you can come into the office one time for a complimentary visit and replacement of devices (if needed) to meet us and establish your needs. If you have any information about when your Lyric subscription started, who you were working with, any of your records and/or your "P#" - this will be very helpful for the replacement of your Lyric.Name* Notes to our Staff Phone* Email* Phone (old)SecurityNameThis field is for validation purposes and should be left unchanged.