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Just North of Horsetooth on Shields St. in Fort Collins, CO

Clearly, Our Focus Is On You!

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Home ยป SPEED Questionnaire

SPEED Questionnaire

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Report the FREQUENCY of any dry eye symptoms you are experiencing.
  • Report the SEVERITY of any dry eye symptoms you are experiencing using the grid below
  • Digital Retinal Imaging and Computerized Visual Field Consent Form

  • Our state-of-the-art diagnostic tools are considered to be "elective" to a comprehensive eye exam, and therefore are not covered by your insurance and a nominal fee of $36 will be added to your charges.
  • Date Format: MM slash DD slash YYYY

Protecting our Patients from Coronavirus

To our valued patients: We value the health and safety of our patients and staff above all else. To that end, we are following the CDC guidelines regarding the COVID-19 pandemic. We have made the difficult decision to significantly reduce our office hours and services to urgent/emergent eye care only effective immediately and until further notice. The limited office hours will be Monday through Friday 9 am to Noon. Thank you for your understanding. We will continue to monitor the situation and will update patients as the situation develops. Please call regarding contact lens and glasses needs, and we will do what we can to accommodate your situation. 970-490-2020

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PLEASE NOTE: Please visit this page for updated information on the coronavirus situation.