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775-738-8491

Online Forms at Total EyeCare in Elko, NV

At Total Eyecare, we value your time. In an effort to save you time in our office, you can download and complete our patient form(s) prior to your appointment.

  • You will need AdobeReader® to download and complete the forms.
  • Download the required form(s). Print out the form(s) and complete the required information.
  • Fax your printed and completed form(s) to our office or bring them with you to your appointment.

New Patient Welcome Form

(Required for New Patients)

Please complete this form as it lets us know the history and current state of your health. Let us know what questions, concerns, and goals your have regarding your eye health or vision on the form.

Download & Print Form

Patient Records Release Form

This form authorizes us to access or release your records if medically required for your vision and eye health.

Download & Print Form

Eye Care Associates Cataract Surgery Packet

Please complete and take this form with you to the surgical center the day of your surgery.

Download & Print Form


Having trouble opening the forms? Make sure you have the latest version of AdobeReader.

Download the Free AdobeReader®

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