Patient Forms for Check-in and Registration
Prepare for your A+ Total Care visit and speed your check-in process by completing required registration forms in advance. You can download and print patient forms to bring with you to A+ or submit your completed form by email.
For guidance in determining which forms you’ll need to fill out prior to your visit, look through our Patient FAQs page, call A+ Patient Services at 775-777-7587 or fill out and submit our online contact form for further assistance.
Submitting Forms
You can download, print, and fill out the forms to be deliver to us in-person at our clinic or send forms by email.
Hand-deliver or mail forms to: 976 Mountain City Hwy in Elko, 89801
Send completed forms by email
We are not accepting faxed forms at this time.