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Online Forms

At Gregory A. Atkins, OD, 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. Please arrive at least 10 minutes prior to your appointment. This allows us time to enter your information into our system prior to taking you back, which in turn allows us to take you back into your exam at your appointed time.

  • You will need AdobeReader® to download and complete the forms. Click here to download.
  • 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 Health History Form – Required

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


Existing Patient Health History Form – Required

Download & Print Form


Download the Free AdobeReader®