If you are new to Colorado Springs Ear Associates please complete and bring the following form with you to your appointment.
Patient Forms
New Patient Forms
HIPAA and Notice of Privacy
Please review our Privacy Notice. You will be asked to sign a HIPAA policy acknowledgement when you arrive for your appointment.
Medical Records Release
Please use this form to request a copy of your medical records. Please mail the completed form or fax your request to 844-274-1042.
Notice
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