Below you will find the new patient registration forms that need to be completed prior to your appointment. Be sure to download and complete your patient forms before arriving for your appointment, and bring the completed forms with you to your consultation.
Don’t forget to register as a new patient through our Patient Portal.
Medical Records Release
As a Reminder Please…
- Arrive 15 to 20 minutes prior to your appointment time
- Bring completed forms 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.