Colorado Retina Policies
- Good Faith Estimate
- Good Faith Estimate (Spanish)
- HIPAA Policy
- Notice of Privacy Practices
- Financial Policies
View Notice of Privacy Practices
Co-pay Assistance Enrollment Forms
Financial assistance is available for certain intravitreal injection treatments, for eligible patients.
- EYLEA4U Patient Enrollment Form
- EYLEA4U Patient Enrollment Form (Spanish)
- Ozurdex Patient Enrollment Form
- Syfovre - Apellis Assist Enrollment Form | Apellis Assist
- Lucentis, Vabysmo, Susvimo
Payment Assistance and Grants
Good Days and other payment assistance programs provides financial support for patients who cannot afford the ocular treatment they urgently need. Contact one of our financial counselors at 303-261-1600 for more information.
Language Assistance Services
Free virtual language interpreting services are available for your appointments if your primary language is not English. We offer support in Spanish, Chinese, Vietnamese, Korean, Russian, German, French, Japanese, and over 15 other languages.
Continuous Care Program
Your whole body is connected. Your care plan should be, too. We offer a Continuous Care Program that meets your unique retina and general healthcare needs. More info HERE.
LumiThera Photobiomodulation
Informed Consent Form required for patients to sign before enrolling in LumiThera's Valeda photobiomodulation (red light) treatment.
