World Class Specialty Eye Care Celebrating 55 years!

Patient Forms

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…

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

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