Online Forms

New Patient Health History Form - Download & Print Form

Evergreen Records Release (from EVC) - Download & Print Form

Evergreen Records Release (to EVC) - Download & Print Form

Patient Authorizing EVC (PHI to Family) - Download & Print Form

HIPAA Notice of Privacy Practices - Download & Print Form

Evergreen Vision Warranty - Download & Print Form

Request An Appointment

Please use this form for general information purposes only. DO NOT send personal health information through this form. Specific patient care must be addressed during your appointment.

Please complete the following form to request an appointment. Please also note that availability will vary depending on your request. Your appointment will be confirmed by phone by a member of our staff. Thank you!
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Date Format: MM slash DD slash YYYY
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Evergreen Vision

Phone: (303) 674-4143 Address: 30960 Stagecoach Blvd #200
Evergreen, CO 80439

Office Hours

Monday: 10:00am - 5:00pm
Tuesday: 10:00am - 12:00pm & 2:00pm - 5:00pm
Wednesday: 7:30am - 5:30pm
Thursday: 8:00am - 6:30pm
Friday: 7:30am - 5:00pm
Saturday & Sunday: Closed

Optical Boutique Hours

Monday: 10:00am - 5:00pm
Tuesday: 10:00am - 12:00pm & 2:00pm - 4:30pm
Wednesday: 7:30am - 5:00pm
Thursday: 8:00am - 6:00pm
Friday: 7:30am - 4:30pm
Saturday & Sunday: Closed

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