Forms

Forms

Forms

Forms

Forms

Forms

Forms

To help the doctor and staff devote the most possible time to you and your vision care, please fill the following online forms:
For all patients:

  • Welcome To Our Office Form (Patient info/Lifestyle Form)

  • Click Here
  • Notice Of Privacy Practice

  • Click Here
  • Permission To Disclose Personal Medical Information

  • Click Here
  • Records Release Authorization

  • Click Here
  • Acknowledgment of Receipt of Notice of Privacy Practices

  • Click Here


​​​​​​​For Children, please also fill out:


​​​​​​​For Traumatic Brain Injury Patients, please also fill out:


​​​​​​​HIPAA – Health Insurance Portability and Accountability Act

none 8:30 AM to 5:00 PM 8:30 AM to 5:00 PM 8:30 AM to 5:00 PM 8:30 AM to 5:00 PM 8:30 AM to 5:00 PM 9:00 AM to 12:00 PM
(only second Saturday of the month) Closed optometrist https://www.google.com/search?q=Niwot+Vision&oq=Niwot+Vision&aqs=chrome..69i57j0i19j69i60l3.295j0j4&sourceid=chrome&ie=UTF-8#lrd=0x876bf08bc48b4949:0x16ef6242c627c942,3,,, # https://www.facebook.com/NiwotVision/reviews