New Patient Forms
Please complete these forms in a PDF reader prior to your appointment and use the secure upload link below to send them to us. 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. Please upload the completed form below or fax your request to 719-667-1328.
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
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