Download Patient Forms

Download Patient Forms

We look forward to meeting with you! To help make the check in process smoother and more efficient for you please take a few minutes to review, complete, print and sign the Patient Paperwork Packet below.

Please bring the completed paperwork packet to our front desk staff when arriving for your appointment. If you would prefer to complete the paperwork at our office, please plan on arriving 15 to 30 minutes prior to your scheduled appointment to complete the packet in our office. Thank you again for choosing Boulder Valley Ear, Nose & Throat Associates.

 

Allergy Forms and Information. If you are a new Allergy patient, please read and fill out the forms below:

 

HIPAA Forms:

 

Please use the following form to request medical records:

 

Cancellation Policy:

  • Please note if you need to cancel or reschedule your appointment, we kindly request that you notify us at least 24 hours prior to your visit.¬† A fee of $50.00 will be assessed for late notifications and for not attending your scheduled appointment.

We take care of people.

Our hours are 7:30am to 5:00pm (Monday-Friday)

Contact 

(303) 443-2771

info@bouldervalleyent.com

4745 Arapahoe Ave. Suite 130, Boulder, CO 80303

90 Health Park Dr. Suite 220, Louisville, CO 80027

300 Exempla Circle Suite 210, Lafayette, CO 80026