Phone: 303-666-6320

615 Main Street . Louisville, CO 80027

Patient Forms

.Please print and bring the following forms along to your appointment.

1 Patient History  Help us learn more about you by sharing your medical information and family history.

PATIENT HISTORY FORM

 

2 Privacy Statement  The law requires that Eyeworks make every effort to inform you of your rights related to your personal health information. Please review and sign our privacy policy.

PRIVACY PRACTICES FORM