Patient Resources

Authorization to Disclose Medical Records —Dr. Brotsky

Authorization to Disclose Medical Records—Dr. Christian

Authorization to Disclose Medical Records —Dr. Jeng

Authorization to Disclose Medical Records —Dr. Uyemura

Medical History Questionnaire—English

Medical History Questionnaire—English Pediatric

Spanish

These forms will be coming soon. Thank you for your patience.

Request An Appointment

For routine appointments only. Please call us at 970-352-6688 if it is an emergency.

*What is Your Primary Language?

Welch Eye Center

1616 15th St.
Greeley, CO 80631
970-352-6688

1616 15th St.
Greeley, CO 80631

Translate / Traducir »