Skip to Content
chevron-left chevron-right chevron-up chevron-right chevron-left arrow-back star phone quote checkbox-checked search wrench info shield play connection mobile coin-dollar spoon-knife ticket pushpin location gift fire feed bubbles home heart calendar price-tag credit-card clock envelop facebook instagram twitter youtube pinterest yelp google reddit linkedin envelope bbb pinterest homeadvisor angies
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.

Download Form
Financial and Privacy Policies

Please review our Financial and Privacy Policies. Returning patients are required to sign the Financial and HIPAA policy acknowledgments annually.

Download Form
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, or faxed to 719-667-1328.

Download Form

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

2950 Professional Place, Suite 100
Colorado Springs, CO 80904

Phone: 719-667-1327


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

Contact Colorado Springs Ear Associates Today
to Schedule an Appointment