Appointments

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Thank you for choosing Retina Consultants of Southern Colorado. We look forward to serving you at one of our three convenient locations throughout the front range. Please use the form to submit general questions, appointment requests, appointment changes or insurance or billing questions.

Office Hours
Monday - Friday: 7:00am - 4:00pm
Saturday: Emergency Only
Sunday: Emergency Only

Phone 719-473-9595
Emergencies 719-473-9595 ext. 284
Email appointment@coloradoretina.com

asterisk (*) denotes mandatory fields

Patient First Name *

Patient Last Name *

Patient Email *

Patient Phone Number *

Requested Physician *

First AvailableNo preferenceAdam A. Martidis, M.D.James K. Luu, M.D.Matthew O'Sullivan, M.D.Narine Viruni, M.D.Nikko Ronquillo Jr., M.D.Ramin Sarrafizadeh, M.D.Ryan M. Rich, M.D.Stanford C. Taylor, M.D.

Preferred Locations *

No preferenceColorado Springs CentralColorado Springs NorthPueblo Office

Are you currently a patient? *

Yes

No

Preferred Method of Contacts *

Email

Phone

Reason For Appointment *

How did you hear about us? *

Referring PhysicianFriend or FamilyInsuranceGoogle SearchNewspaper or RadioSocial MediaOther

Were you referred to Retina Consultants of Colorado? *

Yes

No

Please note the name (first, last) and contact number of your referring provider

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*Please allow up to 2 business days for one of our team members to process your request and get back to you.

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