Elmore County Eyecare
855 W Airbase Rd.
Mountain Home, ID
208-587-2020
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Patient Forms


Health History Form
File Size: 49 kb
File Type: pdf
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If you are a new patient to our office, knowing your health history will help us serve you better. Feel free to print this form and fill it out prior to your appointment. If you have questions, please call us at (208)587-2020.

Financial Form
File Size: 381 kb
File Type: pdf
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In order to bill insurance we need certain financial and insurance information at the time of your appointment. Feel free to print this form and have it filled out prior to your appointment. If you have questions, please call us at (208)587-2020, or you can fill out the paperwork at your appointment.

Notice of Privacy Practices page 1
File Size: 549 kb
File Type: pdf
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Notice of Privacy Practices page 2
File Size: 681 kb
File Type: pdf
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Contact Us
855 W Airbase Road
Mountain Home, ID 83647

Phone: 
208-587-2020
Fax:208-587-3349 
Office Hours
Mon - Wed     8:00 am - 5:00 pm
Thursday     8:00 am - 5:30 pm
Friday     8:00 am - 1:00 pm
Sat - Sun     Closed
Notice of Privacy Practices
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