On 2.1.2022 we are relocating our Lowry clinic to: 3401 Quebec St., Suite 105, Denver, CO 80207‍

New Patient Forms

You can shorten your front office waiting time by filling out all forms before your visit. If you are a new patient please click on the New Patient Forms. Print and sign the forms and bring them with you to your appointment.

Shorten Your Front Office Waiting Time

Patient Forms

To cut down your waiting room time: download, fill out, and bring the New Patient Forms to your first appointment, available below.

NEW PATIENT PAPERWORK (ENGLISH)

NEW PATIENT PAPERWORK (SPANISH)

If you have any questions while filling these forms out please contact us at 303-261-1600.

REQUEST/ RELEASE PATIENT MEDICAL RECORDS

MEDICAL RECORDS RELEASE FORM

MEDICAL RECORDS REQUEST FORM

ADDITIONAL FORMS & POLICIES

COVID CONSENT FORM

CRA – HIPAA POLICY

EYLEA4U PATIENT ENROLLMENT FORM

EYLEA4U PATIENT ENROLLMENT FORM (SPANISH)

GOOD DAYS PATIENT APPLICATION (ENGLISH)

GOOD DAYS PATIENT APPLICATION (SPANISH)

LUCENTIS FORM (ENGLISH)

LUCENTIS FORM (SPANISH)

Notice of Privacy Practices

Notice of Privacy Practices (Spanish)

Notice to Patients Regarding Privacy Incident

OZURDEX PATIENT ENROLLMENT FORM

On 2.1.2022 we are relocating our Lowry clinic to: 3401 Quebec St., Suite 105, Denver, CO 80207‍

New Patient Forms

Shorten Your Front Office Waiting Time

Patient Forms

REQUEST/ RELEASE PATIENT MEDICAL RECORDS

ADDITIONAL FORMS & POLICIES

For Physicians

Policies

For Patients