CS LASIK Institute

9320 Grand Cordera Parkway, Suite 255 Colorado Springs, CO 80924

Patient forms and portal

Instructions

CS LASIK Institute welcomes you to our practice! Please prepare to be with us for 1hr 45minutes. Your eyes will be dilated. Your exam will be valid for 30 days to ensure the highest level of accuracy.

Before your appointment, it is required that you complete your New Patient Forms and complete your Patient Portal.

This is a two step process.

Please follow the more detailed instructions below.

New patient forms

These New Patient Forms are required prior to your consultation appointment.

Click on the link below, fill out, and submit. We look forward to seeing you soon!

Patient portal

This Patient Portal is required prior to your consultation appointment.

Click on the link below, then click forgot password and follow the prompts. Your username will be the email address you provided us. Please complete the My Health tab, provide home address, and preferred pharmacy.

Please call our office if you are having issues logging into the portal.

Medical records release forms

In preparation for your consultation appointment, if your glasses prescription is less than one year old, we will need to request eye exam records that are older than one year. In order to request a patient’s medical records we need to have the following form filled out. The form must be signed by either the patient or their legal representative. The form can be printed and submitted in office, or via fax: 719-258-1261.

Please call the office to request the email address to submit form via email.