Patient Forms

Serving Loveland, Fort Collins, Greeley, Longmont & Areas Nearby in Colorado

We are pleased and grateful that you have chosen Kirk Eye Center for your eye care needs. We would like to welcome you to our practice. At Kirk Eye Center, our patients are our primary focus.

If your first visit is to be for a routine eye exam, you may find it helpful to read the detailed description of what is involved in your comprehensive medical eye exam. You can access that document below, under the Your Comprehensive Eye Exam link.

In addition to accepting insurance payments,  Kirk Eye Center also accepts the popular CareCredit healthcare card for services. You, too, can discover the many benefits of healthcare financing with the CareCredit healthcare credit card. If you don’t already have one, you can apply here!

Insurance Plans Accepted

  • AARP
  • Aetna
  • Blue Cross-Blue Shield
  • Cigna
  • Humana
  • Kaiser Permanente  (Northern Colorado)
  • Medicare
  • Medicaid
  • Rocky Mountain Healthcare
  • United Healthcare
Patient Teaching Fort Collins CO

New Contact Lens Patient Forms

If you are a new contact lens patient at the Kirk Eye Center, please click on the links below to open the form that you may print, fill out and bring to your appointment OR you may complete the forms online and print it out and bring it with you.

Please note: If you fill out the forms online, the completed forms cannot be saved, however they CAN be printed.

New Patient Forms

If you are a NEW PATIENT at the Kirk Eye Center, please click on the links below to open the form that you may print, fill out and bring to your appointment OR you may complete the forms online and print it out and bring it with you.

Please note: If you fill out these forms online, the completed forms cannot be saved, however they CAN be printed.

Get In Touch With Us

Have a question? Get in touch now!

Contact Us

Monday - Thursday 7:30 AM - 4:30 PM
Friday 7:30 AM - 1:00 PM
Saturday - Sunday Closed

Thanksgiving:
Closed November 27 and 28

Christmas:

Closed December 24, 25 and 26

Monday - Thursday 7:30 AM - 4:30 PM
Friday 7:30 AM - 1:00 PM
Saturday - Sunday Closed
Kirk Eye Center

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