Virginia Eye Consultants Patient Forms

Below you will find the patient registration forms that need to be completed prior to your appointment. If you wish to complete your patient forms before arriving for your appointment, please download and complete all three forms listed below. You may submit these forms to Virginia Eye Consultants in one of two convenient ways:

(A) Download and Print each file, complete each form by hand, and bring the completed forms with you to your consultation,







(B) Complete the forms online


  • Arrive 15 to 20 minutes prior to your appointment time
  • Bring completed forms, if not completed online, and your insurance cards
  • If your insurance requires a referral from your primary care physician, please obtain this referral and bring with you for your visit.
  • Bring a list of any medications you are currently taking.
  • We will need a minimum of 3 hours for this initial visit.
  • Your eyes may be dilated.

If you are experiencing any problems with these forms, please contact our friendly staff at (757) 742-3902 to receive fax or email versions of these forms.

Other Links and Resources:

AAO Academies
American Society of Cataract and Refractive Surgery (ASCRS)
Virginia Optometric Association

American Optometric Association
American Medical Association