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 & those who haven't been in our office for 3 or more years)
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.
Patient Records Release Form
(Required if you want someone to have access to your medical records)
This form authorizes us to access or release your records if medically required for your vision and eye health.
Eye Care Associates Cataract Surgery Packet
(Only for Cataract Surgery Patients)
Please complete and take this form with you to the surgical center on the day of your surgery.
Ocular Office Visit Form
(Required for emergency & problem focused exams)
Please complete and take this form with you to the office on the day of your appointment.
(Required for all patients entering office)
Having trouble opening the forms? Make sure you have the latest version of AdobeReader.