In order to expedite your treatment, we offer our secure intake forms online. Please select the forms below, fill them out, and we can start taking care of you as soon as possible. By offering you this option to complete these forms in advance, we can minimize any waiting time and help you sooner.

If you would like to speak with one of our Oncology Specialists, please call Colorado CyberKnife at (303) 926-9800.

Patient Intake Forms
New Patient Information Form

FORM 1 of 3: New Patient Information Form

IMPORTANT:This form requires your browser to be updated to receive your digital signature. To test your browser, Click Here.

Doctors List and HIPAA Authorization

FORM 2 of 3: HIPAA Authorization

Your Health Providers and HIPAA Authorization so we may contact them on your behalf.

Authorizations and Disclosures

FORM 3 of 3: Authorizations and Disclosures

Legal Health Care documents required nationally and by the state of Colorado.

Open Patient Intake Forms Having trouble with the online forms above? Click Here to download our forms in a simple, 3 page pdf that you can fill out and fax to 303-926-9801
Upload Medical Images After completing our forms, you can upload your medical images using our secure upload center by clicking here.
Patient Questionnaires
Expanded Prostate Cancer Index Composite for Clinical Practice (EPIC‐CP)

Expanded Prostate Cancer Index Composite for Clinical Practice (EPIC‐CP)

A Clinical Tool to Measure Urinary, Bowel, Sexual and Vitality/Hormonal Health.

International Prostate Symptom Score (I-PSS)

International Prostate Symptom Score (I-PSS)

The International Prostate Symptom Score (I-PSS) is based on the answers to seven questions concerning urinary symptoms and one question concerning quality of life. Each question concerning urinary symptoms allows the patient to choose one out of six answers indicating increasing severity of the particular symptom.

Sexual Health Inventory for Men (SHIM)

Sexual Health Inventory for Men (SHIM)

Sexual health is an important part of an individual’s overall physical and emotional well-being. Erectile dysfunction, also known as impotence, is one type of very common medical conditions affecting sexual health. Fortunately, there are many different treatment options for erectile dysfunction. This confidential questionnaire is designed to help you and your doctor identify if you may be experiencing erectile dysfunction.

If you would like to speak with one of our specialists immediately between the hours of 8:30am and 5:00pm Mountain Time, please call (303) 926-9800 and we will be happy to assist you.

We are an independent facility that has the latest technology to assist in expediting the process to review your images, scans, and records from your Doctor to get the answers you deserve. We will also be sending you more information in the next few days as well.

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