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Vision Source

Located off the corner of Research & Powers.

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Home » Contact Us | Eye Doctors in Colorado Springs » Online Patient Registration Form

Online Patient Registration Form

lock icon Please complete the information below and submit the form online, or if you prefer print out the form after full or partial completion, and bring it when you come to our office. This form contains confidential information and is delivered to your doctor through a secure Internet connection.

Most medical health insurance plans do not cover Routine Vision and or dental plans. Vision Plans are typically considered supplemental coverage and typically have a specific ID# or use your SSN. It is the member's responsibility to know their insurance coverage and to provide information at the time of appointment.

Appointment cancellations need to be made 24 hrs in advance to your scheduled visit to avoid cancellation fees.

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Our office will be closed Dec 24 and Dec 25! Call the office to check hours for Thursday, Dec 26th! We will also be closing early Dec 31 and will be closed Jan 1!