North Fulton Eye Center

Patient Forms

Patient Forms

Instructions for Completing and Submitting Patient Forms

To ensure a smooth and efficient process for your upcoming visit, please print the patient forms below and bring with you to your appointment. Please bring your insurance card as well. If you do not have a physical insurance card to provide at the time of your visit, please email us a copy of your card (front and back) prior to your visit. Please email to appointments@northfultoneyecenter.com.

Thank you for taking the time to complete and submit your forms in advance. This helps us prepare for your visit and provide you with the best possible care. If you have any questions or encounter any issues while filling out the forms, please don’t hesitate to contact us at (770) 475-0123.

Download Forms

If you are a new patient or an established patient coming in for your annual complete eye exam, please print and complete the following forms prior to your office visit:

Patient Registration

Medical History

Financial Policy

Privacy Policy

Please click on the following links to review our HIPAA Privacy Practices and Records Release Form:

HIPPA Notice

Records Release Form