Patient Forms
New Patient Forms
Please complete these forms in a PDF reader prior to your appointment and bring them to your visit. They can also be faxed to 719-667-1328.
Financial and Privacy Policies
Please review our Financial and Privacy Policies. Returning patients are required to sign the Financial and HIPAA policy acknowledgments annually.
Medical Records Release
Please use this form to request a copy of your medical records. This form can be brought to the office, emailed to contact@springsear.com, or faxed to 719-667-1328.
Notice
Colorado Springs Ear Associates cannot guarantee that any file available for download from this site is free from viruses or other conditions which could damage or interfere with data, hardware, or software. You assume all risk for the use of all programs and files on this site. Colorado Springs Ear Associates and its contracted vendors are released of all responsibility for any consequences of its use.
Colorado Springs Ear Associates
Address
2950 Professional Place, Suite 100
Colorado Springs, CO 80904
Phone: 719-667-1327
Email: contact@springsear.com
Fax: 719-667-1328
Hours of Operation
Monday: 8:00 AM – 5:00 PM
Tuesday: 8:00 AM – 6:00 PM
Wednesday: 8:00 AM – 6:00 PM
Thursday: 8:00 AM – 6:00 PM
Friday: 8:00 AM – 6:00 PM