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At Atchison 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. 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 Form

Download & Print Form


Dilation Consent

Download & Print Form


Contact Lens Agreement

Download & Print Form


Financial and Privacy Form

Download & Print Form


Notice of Privacy Practices

Download & Print Form


Download the Free AdobeReader®