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Patient Forms

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 Medical Release

Medical Records Release

Non-Discrimination

Surgery Center – Medical Records Release

Our Locations

Fort Collins at Prospect

1725 E. Prospect Rd.
Fort Collins, CO 80525

Fort Collins at Precision Center

3151 Precision Dr.
Fort Collins, CO 80528

Loveland at Skyline

2555 E. 13th St. Suite 225
Loveland, CO 80537

Loveland at Centerra

6125 Sky Pond Dr.
Loveland, CO 80538

Greeley at Fox Run

1701 61st Ave
Greeley, CO 80634

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