Rocky Mountain Ear Center, PC - Hearing, balance, facial nerve and ear disorders

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Hearing Aids
Cochlear Implants
Diagnostic Testing
Gamma Knife
Services for Children
Research

 

David C. Kelsall, M.D.
Otology/Neurotology

Medical Plaza I
601 E. Hampden Ave.
Suite 430
Englewood, CO 80113
Phone: 303-783-9220
Fax: 303-806-6292

Contact Us

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Patient Forms

Download and fill out the following forms. Return them to our office two weeks before your appointment.  The completed forms can be mailed to our office address or faxed to us at 303-806-6292.

Click to open file Patient Health History

Click to open file Authorization to Release Information

Click to open file Authorization to Request Release of Records to RMEC

Click to open file E-mail Communication Release

Click to open file Parental Consent for Medical Care

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