Aviation Psychiatry Registration

Please read all of the way to the bottom. Everything here is important.

Online registration

When you click this paragraph, you will be redirected to a secure forms site to do an online registration. You are not charged for the time I spend reviewing your online registration, and I’ll see the form the fastest if you it online.

Please set aside 30-60 minutes to do the registration. Until the form is completed and you click SUBMIT at the end, I cannot see any of the data. If you walk away from the registration and come back it to it later you may lose your entry. Nothing is stored for me to review until the form has been submitted.

Registration on paper

If you click this paragraph, you will be directed to a second page where you can download a form that you can print, fill in by hand, and return to me by US mail or email.

Dr. Kirk has offices in Denver and Las Vegas. Denver is the main clinic and Las Vegas is a satellite location. Mailed records should only be sent to:

Aviation Psychiatry, LLC
Gregory L. Kirk, MD
2036 East 17th Avenue
Denver, Colorado, 80206