Patient Forms
New Patient Forms
If you are new to Castle Rock Ear Associates please complete and bring the following form with you to your appointment.
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 mail the completed form or fax your request to 719-667-1328.
Notice
Castle Rock 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. Castle Rock Ear Associates and its contracted vendors are released of all responsibility for any consequences of its use.
Castle Rock Ear Associates
Address
4344 Woodlands Boulevard, Suite 240
Castle Rock, CO 80104
Phone: 720-408-9118
Fax: 720-547-9180
Email: contact@castlerockear.com
Hours of Operation
Monday: Closed
Tuesday: 8:00 AM – 5:00 PM
Wednesday: 8:00 AM – 5:00 PM
Thursday: Closed
Friday: 8:00 AM – 5:00 PM