Colorado West Otolaryngologists
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Hearing Aid Financing: CareCredit Payment Options / We Accept CareCredit

 

Patient Forms

To better serve our patients, we have most forms available online for download. This information will be used by your physician to help identify the best treatment options. Please provide the most accurate information possible, as your medical history, current medications and allergies may affect your treatment. Please call our office for further assistance if you are unsure of which forms to download.

All forms are available in PDF format. To download the latest version of Adobe Reader, click here.

Your privacy is important to us. Patient information is handled in accordance with federal HIPAA (Health Information Portability and Accountability Act) guidelines. Click here to download our privacy policy.

 

Patient Medical History

Patient Information

Dizziness Questionnaire

Injury Information

Medical Records Release Request

Outgoing Records Release

Incoming Records Release

Hearing Health Assessment

 

 

OUR PHYSICIANS

Michael M. Trowbridge, M.D.
Duane O. Hartshorn, M.D.
Mark C. Griffin, M.D.
Matthew R. Swelstad, M.D.
James A. Merrell, M.D.
Jeffrey M. Pitcher, M.D

PHYSICIAN EMERITUS

Denzel F. Hartshorn, M.D. 

PHYSICIAN ASSISTANTS

Michael L. Hanson, P.A.-C
Colby Crawford, PA.-C

AUDIOLOGISTS

Steven J. McDermott, Au.D.
Kristin Garst, Au.D.
Jo-an Mealler, M.S., CCC-A, F-AAA

HEARING INSTRUMENT SPECIALISTS

Kellan Williams, BC-HIS

ALLERGIST

Michelle McDermott, R.N.