Patient Forms

Download Patient Forms:

Minimize your time in our waiting area. Prior to your initial appointment at the Eye Center of Northern Colorado, please download and print the forms below, fill in all of the required information, and bring the completed forms to your appointment.

All Surgical Patients Please Fill Out Prior to your Pre-Operative Appointment:

Pre-Operative Medical Form

Download our Patient Forms Below:

Patient Information

Health History

Notice of Privacy Policies

Authorization for the Use/Disclosure of PHI

Non-Discrimination

Surgery Center – Medical Records Release

Medical Records Release

Release Your Medical Records to Eye Center of Northern Colorado

Release Your Medical Records from Eye Center of Northern Colorado