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New Patient Intake Forms

Here you’ll find our patient forms, such as a new patient intake sheet — our standard office paperwork.
We understand your time is valuable and that sitting in the doctor’s office completing paper work is the last thing you want to do.

Please complete our new patient intake forms by creating a login through the secure patient portal below.  You can download and print the forms directly and complete them prior to your visit, filling out the applicable information. This will help us make sure your time with us is prompt.

New Patient Intake Form

This will give us all of the basics for your file, name, address, insurance information. However, it also includes our HIPPA Consent Agreement, and while we are working on making that available on our website it is currently available in our office or we would be happy to email you a copy of our full HIPPA statement.

Financial Policy

Please read the full Financial Policy for Windsor Audiology. A signature is required.

Protected Health Information Release

This is the form that gives us permission to tell people about you. We will NEVER release information to anyone that is NOT on this form…even if your spouse calls and asks if your hearing aids are back from repair, if there name is not on this form we will not tell them either way! We take this form VERY seriously so please make sure you list all individual people that you would like to access to your hearing healthcare information on this form. It will also give us a few other permissions so please make sure that you answer all of the questions and sign at the bottom.

Tinnitus Evaluation

Tinnitus Patients ONLY, please complete our special questionnaire created specifically for our tinnitus patients. It needs to be completed in conjunction with the other paperwork available at the top of the page.

Download & complete new patient forms to expedite your visit!

Thank you for choosing Windsor Audiology in Northern Colorado for your hearing needs! Your hearing journey begins with us.

Clinic Reviews

We look forward to helping you take care of your hearing health!