New Patient Information
Thank you for making an appointment with Colorado ENT & Allergy! In order to expedite the check-in process during your first visit, please complete the following forms prior to your appointment:
Registration
Consent & Financial Policies
HIPAA
Health Information
Enter your health history and current symptoms directly into our electronic medical record via our secure online patient portal. If you do not know the login information for your patient portal account, please call us at 719-867-7800.
Allergy Testing & Treatment
Please complete the following and bring to your allergy testing appointment:
Referral
A number of insurance plans require a referral or authorization to be seen by a specialist. As we are unable to determine the specific requirements for all insurance plans, please work with your primary care physician and insurance company to complete the referral or authorization process.
Insurance Card(s)
Please bring your current insurance card(s), primary and secondary (if applicable), with you. We will scan your card(s) into our practice management system to ensure we have the correct information to file claims with you insurance company.
Co-Pay
If your insurance plan requires a co-pay for a physician office visit, we will collect the applicable amount when you check-in. Keep in mind, our physicians are specialists, and your insurance plan may, thus, require a higher co-pay than for a primary care physician office visit.
Payment Information
If your account has a balance for any services we have provided in the past, we will send you a statement. We accept cash, check, and credit card, and you can make your payment via the return envelope with your statement.
You can also make a payment online. If you have any problems making a payment, please contact our office. Keep in mind, we will collect any account balance when you check-in during your next visit.
Medical Records Request
To request copies of your medical record, please print out, complete, and fax the following form to (719) 867-7899:
